Des Reps 8-25-20.xls
hlively
des reps 8-29-20 AMERICAN POSTAL WORKERS UNION, AFL-CIO
EXPENSE VOUCHER FOR DESIGNATED REPRESENTATIVES/COMMITTEE MEMBERS
(Updated January 3, 2020)
ATTACH ALL ORIGINAL RECEIPTS TO A SEPARATE SHEET OF PAPER
NAME: LAST 4 DIGITS OF SS#: E-MAIL ADDRESS: HOME ADDRESS:
CHANGE OF ADDRESS
STREET
PHONE #:
CITY
STATE
CENTRAL
REGIONAL AUTHORIZATION
EASTERN
NORTHEAST
SOUTHERN
WESTERN
ZIP CODE
OTHER:
DATES: LOCATION ADDRESS: AUTHORIZED BY: DESCRIBE IN DETAIL:
NATIONAL AUTHORIZATION
CLK
MNT
MVS
ASSIGNMENT INFORMATION
FROM
TO
NAME OF INDIVIDUAL
SAFETY & HLTH
NON-ARBITRATION ASSIGNMENT
BMC
L\M MTG
STEP 3
TRAINING
POWER OTHER:
CLUW
BPI
MAINT STAFFING
RI 399
ARBITRATION ASSIGNMENT
YES
NO
ARBITRATION CASE NO:
HEARING: CANCEL:
PRE ARB:
CASE # MANDATORY FOR REIMBURSEMENT OF ARB PREP &/OR HEARING
EXPENSE DETAILS ON BACK
NAME:
LODGING:
AMERICAN POSTAL WORKERS UNION, AFL-CIO EXPENSE VOUCHER FOR DESIGNATED REPRESENTATIVES/ COMMITTEE MEMBERS
EXPENSE DETAIL ORIGINAL RECEIPTS REQUIRED
# OF NIGHTS:
@
PER NIGHT
ROOM & TAX
HOTEL MEALS: (ITEMIZED RECEIPTS REQUIRED)
HOTEL TELEPHONE CHARGES:
OTHER HOTEL CHARGES: (EXPLAIN)
1/3/2020
MEALS:
MEAL EXPENSES (ITEMIZED RECEIPTS REQUIRED)
TRANSPORTATION: *
FROM:
TO:
LODGING TOTAL TOTAL
ALL AIRFARE AND AIREFARE EXCHANGE FEES ARE DONE THROUGH THE AXIOM TRAVEL MASTER ACCOUNT
PARKING:
CABS:
RENTAL CAR :
PERSONAL AUTO:
******Cost comparison required if driving more than 4 hrs each way ******Complete addresses required for mileage reimbursement
# OF MILES:
MISCELLANEOUS EXPENSES:
TIPS:
SKYCAP:
HOUSEKEEPER:
OTHER: EXPLANATION
CAB:
VALET:
0 @57.5 cents/mile
(Effective 1/1/20)
TOTAL TRANSPORTATION
EXPENSE GROSS TOTAL
ARBITRATION ASSIGNMENT - COMPENSATION
PREP DATE (S): HEARING DATE (S):
NUMBER OF HOURS:
@ 39.9362
(EFFECTIVE 8/29/2020)
GROSS TOTAL
NON-ARBITRATION ASSIGNMENT - COMPENSATION
BEGIN DATE:
USPS LEVEL/STEP:
END DATE: NUMBER OF HOURS REGULAR: NUMBER OF HOURS NIGHT DIFFERENTIAL : NUMBER OF HOURS SUNDAY PREMIUM :
@
PER HOUR
@
PER HOUR
@
PER HOUR
GROSS TOTAL
EXPENSES & COMPENSATION - GRAND TOTAL
Name: Trip Dates: Location:
From: To:
American Postal Workers Union, AFL-CIO
Mileage Log
Date Purpose From (complete address required)
Street
City State Zip
To (complete address required)
Odometer Total mileage Reimbursable amount
Street
City State Zip Start Finish
Signature:
TOTAL MILEAGE REIMBURSEMENT
I hereby certify that the above is a true statement of travel expenses incurred by me.
Date:
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