Reimbursement Form

The Nebraska-Iowa District provides reimbursement of some expenses for district officers, trustees, lt. governors and other leadership positions. Requests for reimbursement should be filed in a timely manner and be accompanied by a detailed receipt as appropriate.

The reimbursement form is a fillable PDF, meaning you do not need to print it out to fill in information. An electronic signature (typing in our name) is acceptable. Completed forms need to be submitted electronically. Receipts may also be attached (in the same or in a separate file) along with the reimbursement form. Reimbursement checks are normally cut on the 11th and 24th of the month.

Text