ASSOCIATION OF BANKRUPTCY JUDICIAL ASSISTANTS

PLEASE READ EXPENSE REIMBURSEMENT POLICY AND PROCEDURES BEFORE COMPLETING FORM
Please confirm *
This request for reimbursement is for expenses incurred in connection with: *
While participating as a *

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Daily Total
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Daily Total
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Daily Total:
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Total Expenditures
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PLEASE MAKE CHECK PAYABLE TO (Complete all contact information)

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