OREGON LIBRARY ASSOCIATION EXPENDITURE REIMBURSEMENT REQUEST FORM (ERRF)
Date:
Make Payable To:
Address:
Phone Number:
Fax:
Committee:
Authorized By:
Budget Line to be used for expenditure:
Each request must be authorized by the appropriate committee or round table chair, division president, or the OLA President or Treasurer. Requests without an appropriate signature will be referred back to the committee, round table or division. This can result in significant delay in processing payment.
CHECK APPLICABLE CATEGORIES AND ENTER AMOUNT IN EACH. PLEASE REMEMBER TO ATTACH RECEIPTS.
X	Category	Amount	To Lobby Public Opinion?	To Lobby Legislative Body?
	Supplies
	Postage
	Printing
	Travel: If mileage for OLA member, use formula: total round trip _____ miles minus 100 = reimbursable _____ miles @current IRS business mileage rate
	Other (describe):
	Total	$
Submit to: Shirley Roberts Oregon Library Association PO Box 3067 La Grande OR 97850 Phone: (541) 962-5824 Fax: (541) 962-3335 [email protected]		Questions or Problems: Liisa Sjoblom OLA Treasurer Deschutes Public Library Phone: (541) 617-7093 Fax: (541) 617-7083 [email protected]