Guild Expense Statement

To be reimbursed by the Librarians' Guild for lost time, mileage or other expenses, you must fill out a Guild Expense Statement and submit it with original receipts to the Treasurer (credit card statements are not original receipts). You may place mileage, parking, and expenses on a single form, but lost time must be on its own separate form. Lost Time reimbursements must also come with a copy of the D-Time record.

Once you have filled out the form(s), send it to Guild Treasurer Kian Daizadeh at [email protected].​

2025 Guild Expense Statement Form

First time getting reimbursed?

If this is the first time you need reimbursement for lost time, you must also send the Treasurer a completed W-4 form as well as your date of birth. You can submit this form, along with your completed Guild Expense Statement (see above) to Guild Treasurer Kian Daizadeh at [email protected]. If you feel more comfortable, you can call the treasurer with your birth date information at 323-255-1863.

2025 W-4 Form

Questions?

If you have any questions regarding reimbursement or Guild finances, contact Guild Treasurer Kian Daizadeh at [email protected] or 323-255-1863 (Northeast Area Office).