VOLUNTEER TIME AND EXPENSE

Please complete the following form fields to report your volunteer time and expenses contributed on behalf of the Groundwater Foundation.

Federal and State Employees - your contributed time and expenses are assumed as eligible for Non-Federal match unless noted in the Additional Comments below.

Volunteers completing this form assist The Groundwater Foundation in obtaining valuable grant funding for future programs and events. Your personal information (name, address, email, etc) will not be given or sold to other parties without your consent, see the Foundation's Privacy Policy for details.

Thank you.

Contact Information

Time contributed:
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(.00, .25, .50, .75)
Include time incurred in advance to prepare / research / gather supplies and travel time to/from activity.
$
Enter your billable rate for your occupational services; if unknown, or volunteering general services, leave the rate blank.

Travel and other expenses contributed:

Receipts - Please mail copies of expense receipts for transactions over $250 to:

The Groundwater Foundation
Attn: Accounting
3201 Pioneers Blvd Ste 105
Lincoln, NE 68502

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Include roundtrip mileage actually driven to and from the volunteer activity.
Amount
$
Amount
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Additional Details

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