Huron University College Students' Council Expense Report and Reimbursement Form

Huron University College Students' Council

Expense Report and Reimbursement Form
Contact Information

*Please include contact information for person to be reimbursed.
Submission Date*

MonthDayYear
Date
Name*

First NameLast Name
Club/Porfolio*
Position*
Phone Number*

Area CodePhone Number
Email (UWO)*
example@uwo.ca
Email (E-transfer)*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Expense Information

*Requires signature from Club President or Budget Holder for approval
Expense Date*

MonthDayYear
Date of payment on receipts
Budget Line*
Description*
Receipt(s) Total*
Club President or Budget Holder*

First NameLast Name
Budget Holder Signature*

Clear
Attachment of receipt*

Browse Files
*Please attach all original receipts to this form in order to receive reimbursement. Copies of debit or credit statements will not be accepted. For more information on requirements for affiliated member reimbursement, please refer to the HUCSC’s Finance Standing Policy. Cancelof
Please verify that you are human*
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