Reimbursement Request Form

The Seed
Expense Reimbursement/
Payment Form
Submitting this online form will create a PDF you can save and print.
(It won't be automatically sent to the finance leader)

Please complete in full, sign it digitally (if you are the team leader), print it out,
before submitting to the finance leader.
All receipts must be attached and printed.

*Expenses need to be approved by the corresponding team leader before submitting.
*Please remember to enter expense information and the receipt in Airtable first.

For Budget Code, click the link below:

2026 Team Budget & Expense
Expense 1
Description of Expense 1*
Date of Expense 1*

YearMonthDay
Budget Code for Expense 1*
Amount of Expense 1*
Do Not Add "$" Sign. Only Number.
Do You Have More Expenses To Add?*

Expense 2
Description of Expense 2
Date of Expense 2

YearMonthDay
Amount of Expense 2
Do Not Add "$" Sign. Only Number.
Budget Code for Expense 2*
Do You Have More Expenses To Add?

Expense 3
Description of Expense 3
Date of Expense 3

YearMonthDay
Amount of Expense 3
Do Not Add "$" Sign. Only Number.
Budget Code for Expense 3*
Do You Have More Expenses To Add?

Expense 4
Description of Expense 4
Date of Expense 4

YearMonthDay
Amount of Expense 4
Do Not Add "$" Sign. Only Number.
Budget Code for Expense 4*
Do You Have More Expenses To Add?

Expense 5
Description of Expense 5
Date of Expense 5

YearMonthDay
Amount of Expense 5
Do Not Add "$" Sign. Only Number.
Budget Code for Expense 5*
Do You Have More Expenses To Add?

Expense 6
Description of Expense 6
Date of Expense 6

YearMonthDay
Amount of Expense 6
Do Not Add "$" Sign. Only Number.
Budget Code for Expense 6*
Do You Have More Expenses To Add?

Expense 7
Description of Expense 7
Date of Expense 7

YearMonthDay
Amount of Expense 7
Do Not Add "$" Sign. Only Number.
Budget Code for Expense 7*
Do You Have More Expenses To Add?

Expense 8
Description of Expense 8
Date of Expense 8

YearMonthDay
Amount of Expense 8
Do Not Add "$" Sign. Only Number.
Budget Code for Expense 8*
Do You Have More Expenses To Add?

Expense 9
Description of Expense 9
Date of Expense 9

YearMonthDay
Amount of Expense 9
Do Not Add "$" Sign. Only Number.
Budget Code for Expense 9*

Date Form Submitted*

MonthDayYear
Total Amount
Make Check Payable To*
Expense Form Submitted By*
Print Name
Expense Form Approved By: (Signed By Team Leader)

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