Expense and Mileage Submission Forms Expense & Mileage Reimbursement — Refresh Collective Hub

Expense & Mileage Reimbursement

Refresh Collective Hub  ·  Internal Use Only

Getting Reimbursed

Use this form any time you've paid for an approved expense for something related to your Refresh Collective work — driving your own car to a program site, covering a meal on a trip, buying supplies for a session, and so on. Report mileage and expenses from the same trip together, right here on one form.

Fill in what applies to your trip, upload photos of your receipts (and your odometer if you're reporting mileage), and click the button below. It builds a completed PDF right in your browser — download it and submit that PDF to Gusto to complete your reimbursement request.

Meals are reimbursed at $26 per meal, up to $78 per day. Mileage is reimbursed at the current rate of $0.725 per mile.

Questions about what qualifies, or something not fitting the form right? Reach out to Lee Harrill before you submit — better to check first than to resubmit later.
Trip Details
Mileage
Log each day you drove for Refresh Collective work. Miles and reimbursement amount calculate automatically at $0.725/mile.
Date Start Odometer End Odometer Miles Amount
Mileage Subtotal$0.00
Optional: attach a photo of your odometer (start and/or end of trip) to back up your mileage. These photos are included in your PDF but not required to submit.
Date Point in Trip Photo
Expenses
Meals reimburse at $26/meal, up to $78 per day. Attach a photo of the receipt for every line below.
Date Category Description Amount Receipt
Expense Subtotal$0.00
Total Reimbursement Requested $0.00
Refresh Collective · Expense & Mileage Reimbursement Form
This form builds a PDF in your browser for you to download and submit to Gusto. Nothing is sent anywhere automatically — save your PDF and forward it as your reimbursement record.