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Reimbursement Request

NSPAReimbursement Request
  • Instructions

    Please complete this form when seeking reimbursement from NSPA for approved expenses. Reimbursement may take up to 60 days processing and delivery. A copy of this form will be presented once submitted.
  • General Information

  • Type of Reimbursement Requested

  • Travel

    Use the plus button (+) to the right to add days to the form.
  • Date (MM/DD/YY)Destination/ LocationMileage (in miles)Hotel (in dollars)Per Diem (in dollars) 
    For per diem calulations, please visit http://www.gsa.gov/portal/content/104877
  • NDLSF Instruction

  • Date (MM/DD/YY)Type of CourseSections TaughtMileage (in miles)Hotel (in dollars)Per Diem (in dollars) 
    For a per diem calulations, please visit http://perdiem.vccs.edu/ (only applicable with overnight stay)
  • Other Expenses

  • Date (MM/DD/YY)Description of Expense/ItemAmount (in dollars) 
  • Supporting Documentation

    I hereby attest that the above request for reimbursement is accurate and complete to the best of my knowledge and agree that NSPA has the right to refuse any amount/expense deemed ineligible by policy, regulations, and/or law.
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