Personal Reimbursement Request

Personal reimbursements are to be used a last resort for ordering items.

Date

mm/dd/yyyy

Requester's name

Requester email

Employee ID

Requester's Complete HOME address:

You must enter your HOME address (DO NOT use 1840 Entrepreneur Drive)

City

State

Zip

Supervisor Name (if ordering as a student or postd

Supervisor email - If student / postdoc

Account number to be charged

Assigned Fund Manager: (Please pick one)

Amount requested for reimbursement

Business purpose justification

Is this a food reimbursement?

If yes, then the AP107 Non-Travel Meals Authorization Expense form must be uploaded into this request. The form can be found at the link below:

https://controller.ofa.ncsu.edu/resources/forms/

Other items that must be included for reimbursement of meals are an itemized receipt, listing all attendees and an itinerary/agenda.

Is Alcohol part of the reimbursement?

If alcohol is part of this reimbursement, please complete the following form:

https://engr.ncsu.edu/wp-content/uploads/2016/12/COE-Request-for-Deans-Signature-Form-1.pdf

If this request is for an annual membership reimbursement, then please provide the benefit to the university justification for this membership.

Location for where items are housed on NCSU campus

Justification for not using normal ordering proces

Please upload itemized receipts and other supporting documentation

If this is a food purchase you must upload the AP107 and the agenda or email invitation for the meal. If these are not uploaded the request will be denied.

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