25-26 Reimbursement Request Form

Instructions:

Please fill out completely with description of reimbursement and breakdown of expenses.
Attach up to 5 files/pictures/scans of all receipts and supporting documentation.
- If you have more than five files, please separate your reimbursement requests so our team can keep everything together.
A receipt of your submitted request will be e-mailed to you (please keep for your records).
The treasurers will e-mail you when your check is ready to be picked or has been mailed to you.
Questions? Please e-mail our treasurer at treasurer@sequoyaapt.com.


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Review All Reimbursement Details Here

REQUEST INFORMATION:
Name Company Name (if applicable) Email: How would you like to receive your reimbursement*

FOR ZELLE REIMBURSEMENTS:
Phone Number and/or Email We need the phone number and/or email linked to your Zelle account. Please provide what name your Zelle is listed under so we can ensure we have the correct account.

FOR MAIL/PICK UP REIMBURSEMENTS:
Check made payable to: Mailing Address:

REIMBURSEMENT DETAILS:
Committee/Event Total Amount Requested for Reimbursement/Payment: Please submit two requests if you need to upload more than 3 files. Description/Purpose: Attach Receipt/Invoice #1 Attach Receipt/Invoice #2 Attach Receipt/Invoice #3 Attach Receipt/Invoice #4 Attach Receipt/Invoice #5 Date Check Needed (please allow at least 1-2 weeks if possible + additional time if mailing option is chosen):