Providing affordable student housing since 1932

Reimbursement Form

Reimbursement Form

This form is used to process any checks or reimbursements needed in the course of operational business. Staff or CoCo member fills out and provides a digital signature for approval. Form is then sent to the Finance Staff and processed.
MM slash DD slash YYYY
Requested by:
Who's filling out this form
Pay to the Order of:
Who should get the funds?
What was purchased for what event / use. Please indicate which line item it should be expensed to. Examples: (Keyboard & Mouse-- Best Buy $1.00 to 64150 Office Equipment Expense.) (Facilitation Support--DART $50.00 to DART Team line item unknown.)


Receipt or Minutes attachment options
Max. file size: 128 MB.
Google Drive--make sure permission is granted to finance staff
Please explain any missing receipts.


Staff or CoCo signature required