Student Organizations - Personal reimbursement request

Use this form to submit a reimbursement request for operating expenses and supplies. All requests must be submitted within 14 days of the purchase date on your receipt(s).

Fields with asterisks (*) are required.

Receipt Requirements

All receipts MUST show:
• Where the items were purchase – Store/Company Name
• What was purchased (Itemized list of what you bought)
• Payment method (via credit card xxxx1234)
• All receipts must indicate that a $0 balance is due.

Documentation Requirements

Reimbursement requests for items purchased for specific activities or meetings must also include a flyer from the event showing the event date and details, or an email invitation for the meeting.

Payee Information

Expense Information

Reimbursement Total

Attach Receipts and Documentation (upload PDF of receipts)