ODP Expense Claim Form

ODP EXPENSE CLAIM FORM

Please complete this expense claim carefully and completely.

You may only claim mileage if your are the actual driver to the event.

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Select the Event for which you are claiming an expense -- Select One --ODP TryoutsODP Training SessionODP Tournament EventODP Regional CampOther Select the Team Age and Gender: 94 Boys95 Boys96 Boys97 Boys98 Boys99 Boys00 Boys94 Girls95 Girls96 Girls97 Girls98 Girls99 Girls00 Girls Date(s) of Event: Your Name: Your Address: Your City, State and Zipcode: Telephone:  Enter a valid phone number. Example: 123-456-7890 Email Address:  Enter a valid email address. Example: name@company.com Social Security Number: This is only required one time. Put "on file" if it has already been supplied to MSA. If your SSN is not on file at MSA, the claim will not be paid. Training Fee (# of sessions X $50) Meals: # of Meals x $10. Please do not claim unless you actually consume a meal, or if MSA provides a meal. Lodging (if not provided): Number of Round Trip Miles: Round trip mileage (Total miles X .50 cents) If you are the driver. Other Expenses: Please itemize and explain. Total of Expenses (add above expenses):$

Thank you!

Your claim will be reviewed by the ODP Administrator and the State Technial Director of Coaching for completeness and accuracy and then forwarded to the MSA office for disbursements.

The MSA office generally processes expense claim checks on Wednesday of each week.