Expense Voucher for All-State Committee Expense Voucher for Region/All-State Use this form to submit an expense voucher for SCBDA Members, Workers, and Services. Event Name(Required)Please select and event.Region 1 Auditions - Powdersville HSRegion 2 Auditions - North Augusta HSRegion 3 Auditions - Blythewood HSRegion 4 Auditions - Summerville HSRegion 5 Auditions - West Florence HSRegion 6 Auditions - Boiling Springs HSAll-State Band Auditions - Lexington HSAll-State Jazz Band Auditions - Lexington HSEvent Date(Required) MM slash DD slash YYYY Travel ExpensesAutomobile Travel FROM Automobile Travel TO Did you drive a carpool more than 90 miles one-way to this event?(Required) Yes No Please list the names of the additional person(s) in the carpool.(Required)To add additional names to this table, click the plus (+) sign at the end of the row.First NameLast Name Add RemoveEnter the number of ROUND TRIP miles.SCBDA Mileage Rate: .37 per mile. Round trip mileage for auditions is capped at $50.00. This update was voted/ passed the Finance Committee at the 2022 Fall meeting. Please complete the form with all the pertinent information understanding that mileage will be capped at $50.00.HiddenMileage Rate(Required)Please enter a number from .37 to .37.Mileage Price(Required) Price: $0.00 Mileage Cap Max Price: Other ExpensesDo you have any other eligible expenditures?(Required) Yes No Additional Expenditure 1(Required)Enter a description of the expense. Amount 1(Required)Enter an amount for this expense. Additional Expense 1 Receipt(Required)Please upload a receipt for this expenditure.Accepted file types: jpg, png, tiff, pdf, Max. file size: 5 MB.Do you have any other eligible expenditures?(Required) Yes No Additional Expenditure 2(Required)Enter a description of the expense. Amount 2(Required)Enter an amount for this expense. Additional Expense 2 Receipt(Required)Please upload a receipt for this expenditure.Accepted file types: jpg, png, tiff, pdf, Max. file size: 5 MB.Do you have any other eligible expenditures?(Required) Yes No Additional Expenditure 3(Required)Enter a description of the expense. Amount 3(Required)Enter an amount for this expense. Additional Expense 3 Receipt(Required)Please upload a receipt for this expenditure.Accepted file types: jpg, png, tiff, pdf, Max. file size: 5 MB.TotalTotal Reimbursement Request Requester's InformationThe check should be made payable to:(Required) The check should be mailed to:(Required) Street Address Address Line 2 City State 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 ZIP Code Email(Required)Please provide your e-mail address should we have a question during processing this voucher. Phone(Required)Please provide your phone number should we have a question during processing this voucher.