CAC Expense Claim Form
Use this form to submit a claim for reimbursement of previously-approved expenditures incurred on behalf of the CAC. Please note the following:
You must have your receipts scanned into
up to three
PDF, JPG, BMP, TIF, or GIF files
submitting this form.
Expenses will only be reimbursed if they were budgeted for OR approved by:
the appropriate member of the Board of Directors
the appropriate committee chairperson
the seminar chairperson
This form must be submitted prior to the end of the fiscal year
during which the expense was incurred.
If you have any questions, please contact the CAC Treasurer at
Name of Person Submitting Form:
Phone # of Person Submitting Form:
(only one phone number)
E-Mail of Person Submitting Form:
Make Check Payable To:
Address to Mail Check:
City, State, Zip:
About The Expense(s):
Committee or Office:
Immediate Past President
Regional Director North
Regional Director South
ABC Certification Committee
Alcohol Review Committee
CCI Advisory Committee
Financial Review Committee
Founders Lecture Committee
Legislation Analysis Committee
New Member Committee
Seminar Planning Committee
Training & Resources Committee
If "Other" above:
Optional comments for the Treasurer.
Helpful tips for travel reimbursement (2016):
The current IRS mileage rate is 54.0 cents per mile.
Airfare maximums: $300 (in state) and $500 (out of state)
Accommodation maximum: $150/day
Per Diem: $50/day – for trips requiring an overnight stay
Amounts in excess of those stated above require prior Treasurer approval.
On the next page, please attach your scanned receipts.
You CANNOT submit this form without attaching your receipts.