ACCOUNTABLE REIMBURSEMENT PLAN

LOCAL TRANSPORTATION DETAIL - FORM A

Name:_________________________________ Period Covered:__________ to ____________

Date	Who Where Purpose	Parking/ Tolls	Miles Traveled
	Total - Parking/Tolls and Miles (Transfer totals to Summary Form)	$________	________

Notes:

Ø Odometer readings are advised

Ø Receipts for items of $25.00 or more are required

Ø Confidentiality may be noted by indicating "private" (Clergy should retain information for audit)

Ø Do not include commuting mileage between parsonage/residence and church. It is not reimbursable. Outpoint church travel may be reimbursed as a second place of work.