Forms for Visiting Artists: Expenses

Name*
First Last
Date*
MM slash DD slash YYYY
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Chapter Visited*
MAP Dates*
Hours of Assessment*
This is on your assignment email.
Lodging
WSMTA Lodging Per Diem By Chapter
Days of Motel Expenses*
Based on eight-hour work day with lodging receipt. Where distance in traveling by car justifies, you may charge for an extra night's lodging.
Lodging Receipt
Please upload your lodging receipt(s)
Drop files here or

Max. file size: 512 MB.
Meal Expenses
Meals
Please enter your meal expenses. Maximum of $50 per eight hours of assessment time. Receipts must be submitted.
Meal Receipts
Please upload your meal receipts.
Max. file size: 512 MB.
Travel
Please choose either the number of miles traveled by car and/or submit receipts for travel by bus, train, or plane. Total visiting artist travel must not exceed $350 per visiting Artist for all travel expenses.
Car
- Miles
If you traveled by car, please choose miles, then enter the number of miles you traveled in the field that appears.
Number of Miles Traveled Round Trip at $0.39 per mile by car.
Other Travel
Please describe your other travel.
Other Travel Cost
Please enter the total cost of your other travel.
Other Travel Receipts
Please upload your receipt(s) here.
Max. file size: 512 MB.
Total
Please disregard this calculation. Jason will calculate according to the latest reimbursement guidelines.
$0.00

Lodging