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This Expense Reimbursement Claim Form (2025) is required for all ECSCA expense claims.
- Please fill out the form in its entirety before submitting.
- For PayPal Zelle & Venmo we'll make payment within 5 business days.
- For Bank Bill Pay payments may be delayed for up to 30 days.
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Your Name
*
Email
*
Your Phone
*
Preferred Method of Payment for the person we'll be sending the money to.
*
PayPal
Zelle
Venmo
Bank Bill Pay (delayed payment up to 30 days
Your Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
PayPal Account Info?
*
Please use the PayPal account of the person who we'll send the money to.
Zelle Account Info?
*
Please use the Zelle account of the person who we'll send the money to.
Venmo Username (your @handle)
*
Please use the Venmo account of the person who we'll send the money to.
Are you claiming for yourself or someone else?
*
Myself
Someone Else
Other Persons Name
*
Other Persons Email
*
Other Persons Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Event Year
*
--- Select Choice ---
Pick One
2025
2026
2027
2028
2029
Event Location (State)
*
--- Select Choice ---
Pick One
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
Chairperson or Approvers Email (cannot be yourself):
*
We will need to verify that the Chairperson is aware and if required, has approved these expenses.
Approval Status
*
Chair Person Approved
Board Approved.
No Approval Required.
(For amounts over $500 both the event chairperson and the board may need to approve)
Event (Only ONE Event Per Form Submission)
*
--- Select Choice ---
Event Type
1-General Operating
2-Agility
3-ASC
4-Field Trial
5-Hunt Test
6-Morris & Essex
7-NACC
8-National
9-NCC
10-Rally
11-Regional
12-Scent Work
13-Other
Expense Categories for #1 Claim.
*
SELECT ALL THAT APPLY. MULTIPLE CHOICE.
1-AKC Fees - Club
2-BOD Expenses:AKC Delegate
3-BOD Expenses:Meeting Expense
4-BOD Expenses:Travel
5-Donations
6-Judges Educ Comm (JEC)
7-Legal & Professional Services
8-Meet the Breed
9-Member Awards
10-Misc Expense - General
11-Office Supplies
12-Postage - general
13-Printing - general
14-Review Supplies
15-Yearbook Supplies
16-AKC Fees - Event
17-Banners & Flags
18-Banquet
19-Bird Planting
20-Birds
21-Boutique Expenses/Payout
22-Boxed Lunches
23-Calendar Postage
24-Calendar Printing
25-Catalog Expenses
26-Event Postage
27-Event Printing
28-Gunner Expenses/Gifts
29-Hall of Fame Expenses
30-Hospitality
31-Judges & Stewards Expenses/Gifts
32-Junior Scholarship
33-Logo Merchandise
34-Misc Event Expenses
35-Morris & Essex Expenses
36-Net Profit to Sponsoring Club - 25%
37-Patron Gifts
38-Port-O-Pottie
39-Raffles/Auction/Fund Raising
40-Ribbons/Rosettes
41-Secretary
42-Site Expenses/Building Rental
43-Superintendent
44-Team Gifts
45-Trophies
46-Video/Photographer
47-Welcome Bags
Expense Description/Details
*
File Upload (Must equal 1st Expense Amount claimed).
*
Drag & Drop Files,
Choose Files to Upload
Invoices Must Equal The 1st Expense Amount Claimed.
1st Expense Amount Claimed ($)
2nd Expense Claim?
Yes
Event (Location must match 1st Event)
*
--- Select Choice ---
Chose 1
General Operating
Only The Same Event as 1st Event
Expense Categories #2 Claim
*
SELECT ALL THAT APPLY. MULTIPLE CHOICE.
1-AKC Fees - Club
2-BOD Expenses:AKC Delegate
3-BOD Expenses:Meeting Expense
4-BOD Expenses:Travel
5-Donations
6-Judges Educ Comm (JEC)
7-Legal & Professional Services
8-Meet the Breed
9-Member Awards
10-Misc Expense - General
11-Office Supplies
12-Postage - general
13-Printing - general
14-Review Supplies
15-Yearbook Supplies
16-AKC Fees - Event
17-Banners & Flags
18-Banquet
19-Bird Planting
20-Birds
21-Boutique Expenses/Payout
22-Boxed Lunches
23-Calendar Postage
24-Calendar Printing
25-Catalog Expenses
26-Event Postage
27-Event Printing
28-Gunner Expenses/Gifts
29-Hall of Fame Expenses
30-Hospitality
31-Judges & Stewards Expenses/Gifts
32-Junior Scholarship
33-Logo Merchandise
34-Misc Event Expenses
35-Morris & Essex Expenses
36-Net Profit to Sponsoring Club - 25%
37-Patron Gifts
38-Port-O-Pottie
39-Raffles/Auction/Fund Raising
40-Ribbons/Rosettes
41-Secretary
42-Site Expenses/Building Rental
43-Superintendent
44-Team Gifts
45-Trophies
46-Video/Photographer
47-Welcome Bags
Expense #2 Description/Details
*
File Upload (Must equal 2nd Expense Amount claimed)
*
Drag & Drop Files,
Choose Files to Upload
2nd Expense Amount Claimed ($)
*
3rd Expense Claim?
Yes
3rd Claim (Location matches 1st Event choice)
*
--- Select Choice ---
Chose 1
General Operating
Only The Same Event as 1st Event
Expense Categories #3 Claim.
*
SELECT ALL THAT APPLY. MULTIPLE CHOICE.
1-AKC Fees - Club
2-BOD Expenses:AKC Delegate
3-BOD Expenses:Meeting Expense
4-BOD Expenses:Travel
5-Donations
6-Judges Educ Comm (JEC)
7-Legal & Professional Services
8-Meet the Breed
9-Member Awards
10-Misc Expense - General
11-Office Supplies
12-Postage - general
13-Printing - general
14-Review Supplies
15-Yearbook Supplies
16-AKC Fees - Event
17-Banners & Flags
18-Banquet
19-Bird Planting
20-Birds
21-Boutique Expenses/Payout
22-Boxed Lunches
23-Calendar Postage
24-Calendar Printing
25-Catalog Expenses
26-Event Postage
27-Event Printing
28-Gunner Expenses/Gifts
29-Hall of Fame Expenses
30-Hospitality
31-Judges & Stewards Expenses/Gifts
32-Junior Scholarship
33-Logo Merchandise
34-Misc Event Expenses
35-Morris & Essex Expenses
36-Net Profit to Sponsoring Club - 25%
37-Patron Gifts
38-Port-O-Pottie
39-Raffles/Auction/Fund Raising
40-Ribbons/Rosettes
41-Secretary
42-Site Expenses/Building Rental
43-Superintendent
44-Team Gifts
45-Trophies
46-Video/Photographer
47-Welcome Bags
Expense #3 Description/Details
*
File Upload (Must equal 3rd Expense Amount claimed)
*
Drag & Drop Files,
Choose Files to Upload
3rd Expense Amount Claimed ($)
*
Additional Notes.
Other PayPal @handle)
Total of all claims.
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