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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: 
Job Description: 

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

Travel Away From Home

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

     (Parking Tolls, Cab, Bus, Rental Car, Airfare 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!


Notes/Comments:


Please visit our Office in Home and Auto Expense web pages!!


Please Print this Page and Bring with you to your appointment!!