UnionActive Website Demo

Expense Report Form

Full Name *

Title *

Phone

Email *

Start Date of Expenses *

End Date of Expenses *

Expense Details

Expense Date

Reason

Miles

Hours

Meals $

Room $

Miles Total $

($.21 per mile)

Other Expenses $

Total Expenses $

Expense Notes *

Expense File 1

Expense File 2

Expense File 3

Expense File 4

Signature *

Use your mouse, finger, or touch device to write your signature.

Expense Statement

By signing this form I attest that all information is accurate and all expenses were incurred as a result of union activities.

UnionActive Website Demo

3460 N Delaware Ave
Philadelphia, PA 19134
2152919540