General Reimbursement Request

General Reimbursement Request

This form is intended for general reimbursement requests. If you wish to seek reimbursement for an event, please complete this form. For travel-related reimbursement requests, please complete this form.

Please allow our administrative team a processing window of 3-5 business days for your request. Following approval by UT's main accounting department, please anticipate a payment processing time of 3-4 weeks.

Full name of the individual to be reimbursed*

EID of the individual to be reimbursed*

If you do not have an EID, one will be created for you. A Payee Information Form via Docusign will be sent to the email address you provide below.

Email address of the individual to be reimbursed*

Upload Receipt*

Please ensure that the submitted receipt provides proof of payment and includes itemized details. Your request will be returned by UT main accounting if it does not meet both of these requirements.

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Receipt date*

Description of the purchased item(s)*

Vendor/supplier name*

Total amount for reimbursement*

Account to be reimbursed from*

If you do not know the account number, please provide the account nickname.

Purpose*

Provide a brief description of how this purchase benefits your project or team.

Preferred reimbursement method*

Direct deposit

Mailed a check

Home address*

List a permanent address where you'd like to receive your chck. include city, state, zip code, and country (if international)

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