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expense_reimbursement_form

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					                                                            AdvancED Expense Reimbursement
                                Please submit this form to: Accounts Payable, 9115 Westside Parkway, Alpharetta, GA 30009
         Request for reimbursement should be submitted within 14 days of incurring the expense. AdvancED Financial Policy dictates that NO
                 REIMBURSEMENT WILL BE PAID IF SUBMITTED MORE THAN 90 DAYS AFTER INCURRING THE EXPENSES.
                                         * * * Please download and complete this form online using Excel whenever possible * * *

                                                                                                                                                   XXX-XX-
Payable to (Name)                                                                                                                                 Last Four Digits of SSN


Mail to (Address)
                                                                                                                                            Trip From:
                                                                                                                                                                            (City and State)

Mail to (Address)
                                                                                                                                            To:
                                                                                                                                                                            (City and State)

Mail to (City)                                  (State)                          (Zip Code)

                                                                                                                                            Trip From:
Best Daytime Phone                                                                                                                                                          (City and State)

                                                                                                                                            To:
                                                                                                                                                                            (City and State)

Purpose of Expense:


      ORIGINAL RECEIPTS FOR ALL EXPENSES NOTED BELOW MUST BE ATTACHED (please refer to instruction on page 2)
DATE OF EXPENSE           / /2011    / /2011   / /2011  / /2011    / /2011     / /2011            LINE TOTAL
Plane,Train, or Bus                                                                                                                                                            $0.00
Persn'l Auto Expns (from pg. 2)                                                                                                                                                $0.00
Car Rental                                                                                                                                                                     $0.00
Taxi, Limousine                                                                                                                                                                $0.00
Hotel (Room & Meals)                                                                                                                                                           $0.00
Meals                                                                                                                                                                          $0.00
Parking Fees                                                                                                                                                                   $0.00
Phone/Cell/Internet                                                                                                                                                            $0.00
Office Supplies                                                                                                                                                                $0.00
Other (Explain)                                                                                                                                                                $0.00
                                                                                        TOTAL OF ALL REIMBURSABLE EXPENSES                                                     $0.00
Explanatory Notes:




                                                                                                                     (Employee Signature)



     - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - (FINANCE USE ONLY) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

                  Account Name / GL Code                                          Department / State Code                                                        Amount




                                                                                                                                                                 $0.00
                                                                                                                                                       Total to be Reimbursed


                           (Business Office Accuracy Approval)                                                                               (AdvancED Unit Approval Signature)




                 Revised 12/13/2010                                                                                  Use this form for Expenses incurred on or after 01/01/2011
                                                               AdvancED
                                           EXPENSE REIMBURSEMENT POLICIES & PRACTICE

1. EXPENSE REIMBURSEMENT FORMS SHALL BE SUBMITTED as soon as possible but no later than 14 days after actual expenses have
been incurred. Expenses will not be reimbursed if submitted more than 90 days from date of expense, as per AdvancED Policy.

2. THE LAST FOUR DIGITS of your Social Security Number are required on all expense reimbursement forms. Please do not enter your full
SSN.

3. ORIGINAL RECEIPTS ARE REQUIRED, as per IRS guidelines. Attach all receipts for airline travel, car rentals, hotel bills, taxis / shuttles,
parking, and meals.

4. TRAVEL BY COMMON CARRIER (airplane, train, bus, boat, etc.) will be reimbursed at the NORMAL ECONOMY RATE or actual cost,
whichever is less, plus the necessary expense to and from the place of departure of the common carrier.

5. PERSONAL AUTOMOBILE usage, if necessary, is reimbursed up to the current IRS-approved rate (51.0 cents per mile for 2011) by the
most direct route. Please note the departure and arrival locations and the date of the trip. Do not request reimbursement for fuel or
maintenance unless it is for a rental car.

6. CAR RENTAL requires advance authorization by the President/CEO or Designee.

7. EXPENSES THAT ARE NOT REIMBURSABLE include items not directly related to AdvancED business, such as personal telephone calls,
lodging not required for business, meals for family members and guests, movies, entertainment, and other personal expenses.

8. HONORARIUM PAYMENTS - Do not use this form to request Honorarium payments. Please use the Team Chair Honorarium form found
under the Accreditation tab on the AdvancED Intranet.

9. PAYMENT OF UNREIMBURSABLE EXPENSES - If you are authorized to sign the hotel bill at check-out, pay for any unreimbursable
expenses at that time and have the hotel deduct this from the final bill sent to AdvancED. In other cases, unreimbursable expenses should be
deducted from the total of expenses submitted to AdvancED for reimbursement.




                                                                 WORKSHEET

            USE OF PERSONAL AUTOMOBILE

            Mileage from                                                         to

                                                                   at           51.0     cents per mile         =                        $0.00
                               (TOTAL MILES)



       **************************************************************************************

            MEALS

                                    / /2011      / /2011       / /2011       / /2011        / /2011          / /2011
            Breakfast                                                                                                           $0.00
            Lunch                                                                                                               $0.00
            Dinner                                                                                                              $0.00
            Daily Total              $0.00        $0.00          $0.00         $0.00         $0.00             $0.00            $0.00


                                      THESE TOTALS SHOULD BE CARRIED FORWARD TO PAGE ONE




        Revised 12/13/2010                                                               Use this form for Expenses incurred on or after 01/01/2011