To submit an expense voucher for reimbursment from TAS, please provide the following information:

Person submitting request: *

Today's Date: * +

Email Address *

Make check payable to (and mail to):

First Name - Or - Company Name *

Last Name

Mailing Address: *

City *

Zip Code *

Check needed by this date:

If this is for a pending payment, the check is needed by this Date: +

Please tell us for which TAS activity these expenses were incurred:

Expense Category for Item 1 *

Item 1 Ops SubCat: *

Item 1 Program SubCat: *

Item 1 Education SubCat: *

Item 1 Field Work SubCat: *

Item 1 *

Amount: *

Expense Category for Item 2

Item 2 Ops SubCat:

Item 2 Program SubCat:

Item 2 Education SubCat:

Item 2 Field Work SubCat:

Item 2

Amount:

Expense Category for Item 3

Item 3 Ops SubCat:

Item 3 Program SubCat:

Item 3 Education SubCat:

Item 3 Field Work SubCat:

Item 3

Amount:

Expense Category for Item 4

Item 4 Ops SubCat:

Item 4 Program SubCat:

Item 4 Education SubCat:

Item 4 Field Work SubCat:

Item 4

Amount:

Comments, notes, or questions:

0/600 characters

If you would like you can attach the expense receipt to this form.

After filling out all of the necessary information, select the "Continue" button to see the total.

If the totals are correct on the next page, select the "Submit" button.

You will receive an email confirming this request.

Please mail this email you received, plus receipts, to:

TAS Treasurer

PO Box 208

Arroyo Seco, NM 87514

After your copy of the email and the receipts are received by the TAS Treasurer, it will be reviewed and the reimbursement check mailed to you.