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CALIFORNIA YOUTH SOCCER ASSOCIATION - Cal North | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | Unnamed: 11 | Unnamed: 12 | Unnamed: 13 | Unnamed: 14 | Unnamed: 15 | Unnamed: 16 | Unnamed: 17 | Unnamed: 18 | Unnamed: 19 | Unnamed: 20 | Unnamed: 21 | Unnamed: 22 | Prelims
CUP REIMBURSEMENT REQUEST |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Committee Meeting
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Check # Paid: |  |  |  |  |  |  | Finals
 |  |  |  | Check here if you have changed your address |  |  |  |  |  |  |  |  |  |  |  | Date(s) of Event(s): |  |  |  |  |  |  | Quarter Finals
Payable to: |  |  |  |  |  |  | Name of Cup: |  |  |  |  |  |  |  |  | Type of Event |  |  |  |  | Association Cup |  | Round of 16
Submitted by: (Print/Type) |  |  |  |  |  |  |  |  | Position: |  |  |  |  |  |  |  |  |  |  |  | Founders' Cup |  | Semi Finals
Address: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Presidents Cup
Submitter's Signature: |  |  |  |  |  |  |  | Date: |  |  |  | Amount Requested: |  |  |  |  |  |  |  |  | Regional/National Competition
3rd Vice Chair Signature: |  |  |  |  |  |  |  | Date: |  |  |  | Amount Approved: |  |  |  |  |  |  |  |  | State Cup
 |  | [NAME] OF EXPENSE |  |  |  |  |  |  |  |  |  |  |  |  | AMOUNT |  |  | TOTAL |  | PROGRAM CODE
FACILITY & FIELD RENTAL/SETUP
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
EQUIPMENT RENTAL
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
CONTRACT LABOR
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
PRINTING/POSTAGE SHIPPING
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
EQUIPMENT & SUPPLIES
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
HOSTING SUBSIDY: Paid to District for each team hosted in Preliminary Rounds ($10.00 per team) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | # of Teams |  | 0
OTHER (Specify)
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
Lodging Total (from page 2) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
Meals Total (from page 2) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
Mileage Total (from page 2) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
Travel-Other (from page 2) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 |  | TOTAL EXPENSES |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
CALIFORNIA YOUTH SOCCER ASSOCIATION - Cal North
2012-2013 CUP REIMBURSEMENT REQUEST
LODGING |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | PROGRAM CODE
DATE |  | HOTEL |  |  |  |  |  | BUSINESS PURPOSE / CONTACT NAME |  |  |  |  |  |  |  |  |  | AMT/TOTAL
TOTAL LODGING |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
MEALS |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | PROGRAM CODE
DATE |  | NAME OF EATING ESTABLISHMENT |  |  |  |  |  | PURPOSE/GUEST NAME(S) & AFFILIATION |  |  |  |  |  |  |  |  |  | AMT/TOTAL
TOTAL MEALS |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
MILEAGE (@ $.565 per Mile) As Calculated by MapQuest |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | PROGRAM CODE
DATE |  | TRAVEL [NAME] (TO/FROM) |  |  |  |  |  |  | BUSINESS PURPOSE |  |  |  |  |  | # OF MILES |  |  | AMT/TOTAL
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
TOTAL MILEAGE |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
TRAVEL-OTHER (CAR RENTAL/TAXI/PARKING/TOLLS) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | PROGRAM CODE
DATE |  | TYPE |  |  |  |  |  | BUSINESS PURPOSE/CONTACT NAME |  |  |  |  |  |  |  |  |  | AMT/TOTAL
TOTAL CAR RENTAL/TAXI/PARKING/TOLLS |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
INSTRUCTIONS:
1.     Expense reports are to be submitted after each trip and or event.
2.     Reports must be typed or prepared in ink.  [NAME] and Approvals must also be in ink.
3.     ORIGINAL ITEMIZED receipts or invoice with proof of payment must be attached.  NO EXCEPTIONS.
4.     Submit to CYSA State Office for 3rd Vice Chair Review
5.     Expense form must be completed in full and must be within CYSA's Financial Policies.
6.     Expenses will only be reimbursed for districts & individuals with proper documentation to include names and dates..
7.     Separate sheets must be filled out for each field location and for each weekend.  Include expenses associated with hosting games only.