Expense Reimbursement Forms
Contact the Business & Finance Office
Elijah Luebbe, District Treasurer
Email Elijah Luebbe: elijahl@ndlcms.org Call Elijah Luebbe: 1-402-643-2961, extension 1005
Brenda Erickson, Bookkeeper
Call Brenda Erickson: 1-402-643-2961, 1006 Email Brenda Erickson: brendae@ndlcms.org
To use these forms
1. You must include your name, email address, and repeat your full name in the “pay to” area.
2. In the “Submit request to” area, please choose NDLCMS Reimbursements
3. To be reimbursed by check, please include your address in the “payment instructions” area. (When possible, we ask that you choose ACH as it is less expensive and helps us be better stewards of our resources.)
4. To be reimbursed by ACH, do not include your bank information! Once we receive your request, we will send you a secure link to provide your bank information. It make take several days for us to process your request before we send this secure link. Please note that ACH reimbursements will take 3-5 business days to clear your bank once we schedule it.
5. Reimbursement of costs purchased with personal funds: Receipts are required for reimbursement of meals and items purchased with personal funds. To upload pictures or scans of your receipts, click on the “Add Receipt” button and upload a JPG, PNG, or PDF copy of your receipt. Then fill in the other fields both describing the purchase (including the event, when applicable) and adding the cost to the “rate” field.
6. Reimbursement for mileage: Details are required for each mileage reimbursement line for audit purposes. Click the “Add Mileage” button and fill in the description of the mileage (including the event date, name and where you went to/from) and the number of miles in the quantity area. Your mileage rate will be prefilled. You do not need to upload a receipt for mileage.
Reimbursement Form: District Employee
Please note: We schedule payments on the 10th of each month or the following business day. Forms that get submitted on or after the 10th will be reimbursed the following month.
Reimbursement Form: Circuit Visitor / Vice-President
Please note: We schedule payments on the 10th of each month or the following business day. Forms that get submitted on or after the 10th will be reimbursed the following month.
Please use THIS FORM for circuit visitor and vice-president reimbursements
Reimbursement Form: Board of Directors
Please note: We schedule payments on the 10th of each month or the following business day. Forms that get submitted on or after the 10th will be reimbursed the following month.
Reimbursement Form: Speaker / Consultant
Reimbursement Form: Volunteer
Reimbursement Form: Convention Delegate
This form is for voting and advisory delegates only.
- Please note that a mailing address is only required if requesting a check. Please consider that ACH transactions have lower fees/costs than checks and help us be better stewards of our funds.
- If requesting ACH, you will receive a separate, secure email requesting bank information.
- Mileage reimbursement will be calculated at $0.30/mile.
- Drivers with delegate passengers: For each additional voting or advisory delegate passenger traveling in your vehicle, click “ADD EXPENSE” and include the First and Last name of the delegate as the line description, the round trip mileage as the quantity, and a rate of $0.05. *Note that a driver can receive a maximum of $0.50 per mile (self + 4 delegate passengers). Guest passengers (who are not delegates) are not to be included for mileage reimbursement purposes.
Please use THIS FORM for convention delegate mileage reimbursements