Member documentation

Leadership Manual 2020-2021

The Association of California School Administrators is the largest umbrella organization for school leaders in the United States, serving more than 17,000 California educators.

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TRAVEL EXPENSE CLAIM – Calendar Year 2020 Check Here If New Address Payable to (Print) First Middle Last Street Address City State Zip Name of Committee or Activity Location of Meeting Date of Meeting Regular Committee Special Funding Activity Number DATE HONORARIUM (Professional Fee) MILEAGE (57.5¢ per mile) AIR* MEALS * HOTEL* SURFACE TRAVEL* (Parking, Taxi, etc…) OTHER* Miles x 57.5¢= $ Miles x 57.5¢= $ Miles x 57.5¢= $ Miles x 57.5¢= $ Miles x 57.5¢= $ Miles x 57.5¢= $ Miles x 57.5¢= $ Sub- Totals $ $ $ $ $ $ $ TOTAL OF REIMBURSEMENT REQUEST $ . (*NO REIMBURSEMENT FOR THESE CATEGORIES WITHOUT ITEMIZED RECEIPTS) I hereby certify that the above is a true statement of travel expenses incurred by me in accordance with the current expense policy of ACSA and that all items shown were for official business of the association and that no expenses herein claimed were received or paid from other sources. Signature Date (Claim must be signed before it can be processed) Approval of Chairperson (or Coordinator) Date Approval of Committee Staff Liaison Date SEE REVERSE FOR FILING INSTRUCTIONS Association of California School Administrators 1575 Bayshore Highway, Burlingame CA 94010 Phone (800) 608-2272, Financial Services Fax (650) 259-1029 56

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