Reimbursement Request

Welcome to our Reimbursement Request form. We hope this makes it easy for you to submit receipts for your Fund expenses.

Please allow one to two weeks to process your request. If you have any questions, you are welcome to email us:

***PLEASE NOTE – you must hit SUBMIT at the bottom of the form for us to receive it. After you click the SUBMIT button, please scroll through the completed form to make sure there are no error messages preventing it from sending.***

Reimbursement Requests/Invoice Submissions

Form for Funds requesting reimbursements/invoice submissions
  • Please list expenses by receipt date, description of expense, purpose of expense (program related or fundraising), and amount. Receipts are required for all reimbursements.
    How would you like to receive your reimbursement?
  • Drop files here or
      Please upload a scan, photo, or otherwise digitally formatted receipt for each item to be reimbursed. Receipts are required for all reimbursements.
    • Please explain here if you have a special request for your payment. or if there's anything else we need to know to process your request.
    • By typing your name in this box, you certify that you are authorized to make reimbursement requests on behalf of the Fund stated above.

    Leave a Reply

    Your email address will not be published.