Expense Reimbursement Form
What do you need reimbursed?
Please select which reimbursement type(s) apply to you
Mileage
Baggage
Ground Transportation (Uber, Lyft, Shuttle etc.)
Personal Information
First Name
Last Name
Address Line 1
Address Line 2
City
State
Zip code
Email Address
Staff Type
Please select...
Event Staff
Evaluator/Judge
Summer Symposium Faculty/Staff
Other
Travel Information
What Season is this for?
Please select...
Festival (National Festival, Affiliate Festivals)
Camp (BOA Summer Camp, BOA Blast, etc)
Fall (Bands of America Regional Events)
Other
What Event is this for?
Please select...
MFA National Festival
Affiliate Festival
Name of Affiliate Festival Event
What Event is this for?
Please select...
BOA Summer Camp
BOA Blast
Affiliate Camp
Name of Affiliate Camp Event
What Event is this for?
Please select...
Arizona Regional / Flagstaff, AZ
Austin Regional / Austin, TX
Carolina Regional / Conway, SC
Central Ohio Regional / Obetz, OH
Central Texas Regional / San Marcos, TX
Chattanooga Regional / Chattanooga, TN
Dallas/Fort Worth Regional / Bedford, TX
East Tennessee Regional / Johnson City, TN
Grand National Championships / Indianapolis, IN
Idaho Regional / Moscow, ID
Indianapolis Super Regional / Indianapolis, IN
Iowa Regional / Des Moines, IA
Louisville Regional / Louisville, KY
Memphis Regional / Memphis, TN
Mid-Atlantic Regional / Newark, DE
New Jersey Regional / Piscataway, NJ
New Mexico Regional / Las Cruces, NM
North Houston Regional / Shenandoah, TX
North Texas Regional / Prosper, TX
Northwest Ohio Regional / Toledo, OH
Orlando Regional / Orlando, FL
San Antonio Super Regional / San Antonio, TX
South Houston Regional / Webster, TX
South Texas Regional / McAllen, TX
Southeastern Regional / Birmingham, AL
Southern California Regional / Riverside, CA
St. Louis Super Regional / St. Louis, MO
Utah Regional / St. George, UT
Waco Regional / Waco, TX
West Texas Regional / Midland, TX
Other: Please list the title of the event
Departure/Return City and State
Total Miles Traveled:
Mileage Range
Please select...
1-713 miles
714+ miles
Mileage Reimbursement Total (Total Miles x $.70)
Code 7512
Tolls/Fees (receipts must be scanned and uploaded)
Receipt
I acknowledge that Mileage Reimbursement is up to the equivalent value of a round-trip flight from my home airport and the calculated Mileage Reimbursement Total exceeds this amount.
I accept the maximum mileage reimbursement of up to $500.00 for my trip.
Baggage Information
What Season is this for?
Please select...
Festival (National Festival, Affiliate Festivals)
Camp (BOA Summer Camp, BOA Blast, etc)
Fall (Bands of America Regional Events)
Other
What Event is this for?
Please select...
MFA National Festival
Affiliate Festival
Name of Affiliate Festival Event
What Event is this for?
Please select...
BOA Summer Camp
BOA Blast
Affiliate Camp
Name of Affiliate Camp Event
What Event is this for?
Please select...
Arizona Regional / Flagstaff, AZ
Austin Regional / Round Rock, TX
Carolina Regional / Conway, SC
Central Ohio Regional / Obetz, OH
Central Texas Regional / San Marcos, TX
Chattanooga Regional / Chattanooga, TN
Dallas/Fort Worth Regional / Bedford, TX
East Tennessee Regional / Johnson City, TN
Grand National Championships / Indianapolis, IN
Indianapolis Super Regional / Indianapolis, IN
Iowa Regional / Des Moines, IA
Louisville Regional / Louisville, KY
Memphis Regional / Memphis, TN
Mid-Atlantic Regional / Newark, DE
New Jersey Regional / Piscataway, NJ
New Mexico Regional / Las Cruces, NM
North Houston Regional / Shenandoah, TX
North Texas Regional / Prosper, TX
Northwest Ohio Regional / Toledo, OH
Orlando Regional / Orlando, FL
Pacific Northwest Regional / Moscow, ID
San Antonio Super Regional / San Antonio, TX
South Houston Regional / Webster, TX
South Texas Regional / McAllen, TX
Southeastern Regional / Birmingham, AL
Southern California Regional / Etiwanda, CA
St. Louis Super Regional / St. Louis, MO
Utah Regional / St. George, UT
Waco Regional / Waco, TX
West Texas Regional / Midland, TX
Other: Please list the title of the event
Cost of Baggage (receipts must be scanned and uploaded):
Code 7513
Receipt
Ground Transportation Information
What Season is this for?
Please select...
Festival (National Festival, Affiliate Festivals)
Camp (BOA Summer Camp, BOA Blast, etc)
Fall (Bands of America Regional Events)
Other
What Event is this for?
Please select...
MFA National Festival
Affiliate Festival
Name of Affiliate Festival Event
What Event is this for?
Please select...
BOA Summer Camp
BOA Blast
Affiliate Camp
Name of Affiliate Camp Event
What Event is this for?
Please select...
Arizona Regional / Flagstaff, AZ
Austin Regional / Austin, TX
Carolina Regional / Conway, SC
Central Ohio Regional / Obetz, OH
Central Texas Regional / San Marcos, TX
Chattanooga Regional / Chattanooga, TN
Dallas/Fort Worth Regional / Bedford, TX
East Tennessee Regional / Johnson City, TN
Grand National Championships / Indianapolis, IN
Indianapolis Super Regional / Indianapolis, IN
Iowa Regional / Des Moines, IA
Louisville Regional / Louisville, KY
Memphis Regional / Memphis, TN
Mid-Atlantic Regional / Newark, DE
New Jersey Regional / Piscataway, NJ
New Mexico Regional / Las Cruces, NM
North Houston Regional / Shenandoah, TX
North Texas Regional / Prosper, TX
Northwest Ohio Regional / Toledo, OH
Orlando Regional / Orlando, FL
Pacific Northwest Regional / Moscow, ID
San Antonio Super Regional / San Antonio, TX
South Houston Regional / Webster, TX
South Texas Regional / McAllen, TX
Southeastern Regional / Birmingham, AL
Southern California Regional / Etiwanda, CA
St. Louis Super Regional / St. Louis, MO
Utah Regional / St. George, UT
Waco Regional / Waco, TX
West Texas Regional / Midland, TX
Other: Please list the title of the event
What service was used?
Cost of Trip (receipt must be uploaded):
Receipt
Grand Reimbursement Total
Notes:
Contact Information