Expense Reimbursement Request – Collins Land Services, LLC

All applicable fields must be completed and required documentation attached at the time of submission. Receipts are required per company policy, and all expenses must comply with CLS guidelines. Incomplete or non-compliant requests will not be processed. Submissions are due by 10:00 AM each Monday to be included in the current payroll cycle. Late submissions will be processed the following week.

Name(Required)

First Last

Pay Week(Required)

Select the pay period you are claiming reimbursement for.

Project Name(Required)

Select the project name you are claiming reimbursement for.

Expense Reimbursement Request Details

Vendor Name(Required)

Expense Category(Required)

Description of Expense(Required)

If category is meals or travel, or purchase is made on behalf of another employee, you are required to enter the attendees included in the expense.

Attendees

Reimbursement Amount Requested(Required)

Mileage reimbursement is calculated based on the 2025 IRS standard mileage rate of 72.5 cents per mile. (ex: # of miles x .725)

Original Payment Method

Itemized Receipt

Non-itemized receipts are not eligible for reimbursement.

Email:(Required)

Enter your email address to receive a confirmation of your Expense Reimbursement Submission. If you do not receive an email confirmation, you will need to resubmit the form.