FY25_IUSM Student Event Reimbursement Form

This form is only to be submitted by the person who paid for the items purchased. DO NOT FILL THIS OUT IF YOU DID NOT MAKE THE PURCHASE.

Where should we mail your check?

This must be an original receipt that shows the dollar amount spent, list of items purchased and the last four digits of the credit card number used. Without all of this information your request will be rejected.

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