PhoneThis field is for validation purposes and should be left unchanged.Online Musician Reimbursement FormThank you for your help in reducing paper waste by submitting your reimbursement information via this online form. Please see the Collective Bargaining Agreement on the musician page for reimbursement details. Name* First Last Email* Home Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code MileageTravel Type*Local (No Travel)DriverDriver with PassengerPassengerAir TravelPlease list your passengers:* Number of Round Trips*1234Total Mileage For Concert Set*Lodging InformationLodging Type*No LodgingIndividually Secured Single Occupancy Lodging (Receipt Required)Individually Secured Lodging with Roommates (Receipt Required)Association Provided Double OccupancyAssociation Provided Single Occupancy ($47.60 per night deduction)Homestay ($10 per night added to per diem)Please List Your Roommates:* # of Hotel Nights*0 Nights1 Night2 Nights3 Nights4 NightsHotel ReceiptsAccepted file types: jpg, gif, png, pdf, , Max. file size: 50 MB. Please attach your hotel receipts here.Doubling/Tripling Pay (Winds/Brass/Percussion Only)# of Doubling Services01234567# of Tripling Services01234567CommentsLeave any comments on your reimbursement claims here: Δ