General Reimbursement Request

Please complete this form for all non-travel reimbursement requests. All documents (paper receipts, invoices) should be scanned and uploaded. No hard copies or individual emails will be accepted. Someone will respond to your request within 3 business days.

Requestor's Name (First & Last)*

Requestor's Email Address*

Requestor's Phone Number*

Form of Payment*

How did you pay for the transaction for which you are seeking reimbursement?

Personal Credit Card

Cash

My SCBE PCard

What was the total amount of the transaction for which you are seeking reimbursement?*

What is the name of the merchant/vendor for this transaction?*

Business Purpose

This section helps the admin staff to provide the business justification for the expense. You must answer ALL questions. Please be as specific as possible. Specificity helps to ensure that your reimbursement is approved by the University's Finance team.

Who was the purchase for?*

Include their full name, phone number, and email address.

What was purchased?*

Include details. For any food purchases, indicate the number of attendees.

When was the purchase completed?*

Enter the date.

Where was the item/service purchased?*

If there is a specific location (like a website or physical store) please provide that information here.

Why did you need this purchase?*

i.e. does it support the goals of a research project? Or goals of your training? Was it for a program or a class?

What is the funding source for this purchase?*

i.e. the PTA or Grant Name

Please upload scanned/electronic copy of receipt(s)/invoice(s) for this transaction

Drag and drop files here or

If missing receipt(s), please explain why

Additional notes/comments

Please provide any additional notes or comments related to this transaction that provide context or explanation if not captured above.

Send me a copy of my responses

Privacy Notice|Report Abuse