RRCA Insurance The RRCA insurance program is one of the major benefits membership. Home › About RRCA › RRCA Staff and Board of Directors › Request for Reimbursement Admin: Request for Reimbursement Name(Required) First Last Email(Required) Purpose for Reimbursement Request:(Required)Please outline what related event, meeting, course, etc you are submitting this expense for.Air Travel:Outline travel your air travel item. For example, United flight and date. Total Air Travel Amount:This total must match your airline receipt.Ground Travel:Outline if this items is for parking, mileage, taxi or ride share cost including tips. For mileage, note total miles driven. Total Ground Travel Amount:This total can include mileage and parking costs, or ride share with tip costs. VOLUNTEER mileage rate is $0.14 per mile. STAFF mileage rate is $0.50. Lodging:Outline lodging item. For example, 3 nights at hotel XYZ. Total Lodging Amount:This amount must match your hotel bill less any personal charges (movies, spa, etc.)Dining:Outline number of meals included in this reimbursement request. Total Dining Amount:Add all dining costs together and report the total dining amount including tips for reimbursement.Other:Outline other items not covered above including cash tips at hotel, supplies, postage, etc. Total Other Amount:Grand Total:This field will automatically calculate amounts above.I would like to donate all or a portion of my reimbursement to RRCADonate all of this reimbursement to RRCADonate $500 to RRCADonate $250 to RRCADonate $100 to RRCACheck Amount (Please Leave Blank)For internal use onlyUpload Receipts.(Required) Drop files here or Select files Accepted file types: pdf, jpg, Max. file size: 5 MB, Max. files: 5. You can provide up to 5 PDF files. If you have more than 5 receipts YOU MUST combine them into ONE PDF. NO EMAILED RECEIPTS WILL BE ACCEPTED.Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Provide your address if you have a recent change of address or if this is your first time submitting this form. Reimbursement Request Affirmation: By submitting this report, I verify that the information is true, correct, and in accordance with the RRCA Reimbursement Policy.NameThis field is for validation purposes and should be left unchanged.
