Un-Reimbursed Employee Expenses

Un-Reimbursed Expenses are costs that you have incurred in order to do your job that your employer did not reimburse you for, partially or completely.  It may take a lot of expenses to make a difference, but let us try.

 

 

Name:    Tax Year:

 

                       

         

Tools.................................

Travel Away From Home

Work Clothes.................... Transportation......................

     (Parking Tolls, Cab, Bus, Rental Car, etc)

Cell Phone......................... Hotel Expenses....................
Supplies............................. Meal Expenses.....................
Union Dues.......................         City Traveled To                               Days Away
Reimbursed Mileage.........
     Other - anything else you spent money on!

(list additional Cities / Days on separate form)

     Reimbursed Expenses                

If your Employer paid some expenses, what for?

If it was for Lodging and Meals, we need to know!

 

 

 

Vehicle Information

Vehicle Make and Year

Date in Service

Total Mileage for Year Business Miles Jan - June Business Miles July - Dec Fuel & Oil Repairs & Maintenance Insurance

 

Notes/Comments:

 

 your email address:       

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