DCMGA Expense Reimbursement Request

Denton County Master Gardener Association

Expense Reimbursement Request
Instructions
- Submit only one project or committee per reimbursement request.
- Complete all required fields.
- Attach a copy of the receipt(s) in PDF format (preferred), jpg, or png formats.
- You will receive a copy of the request via email. Please forward a copy of the email to the project manager.
- The DCMGA Treasurer will contact you with any questions.
- DCMGA has sales tax exemption status. Please email dcmga.treasurer@gmail.com for a copy of the Sales Tax & Use Permit prior to purchasing items related to DCMGA events or supplies.
Payable To *

First Name Last Name
Payment Delivery *

Hold Check for Pick-Up Mail Check (provide mailing address below)
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Requester Information
Name *

First Name Last Name
E-mail *
Your E-mail Address
Phone Number *

Area Code Phone Number
Expense Detail
Project or Committee *
Only one project or cost enter per reimbursement request.
Other Project or Committee
Enter the project or cost center name if not available in the drop down list above.

Expenses List *

Total Gross Amount from Expense list
Total Sales Tax Amount from Expense list
Total Net Amount from Expense list (Gross Amount Less Sales Tax Amount)
Additional Expenditure Details
I certify *

I certify that all information entered above is valid and true.
Tips for Uploading Receipts
1. PDF format is preferred.
  - Use the camera or a scanner app on your phone and choose the "Print to PDF" option.
  - Scan on a printer and choose the "Save as PDF" option.
2. If sending pictures (jpg, png) taken on your phone, make sure to get close enough that the image is clear and readable. Preview the pictures to double-check.
3. Tape multiple receipts to a plain piece of paper before scanning or taking a picture.
The DCMGA Treasurer thanks you for helping us process your reimbursement request!
Upload Receipts Here - PDF (preferred), JPG, PNG formats *

Browse Files (upload up to 10 files)

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Signature *

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Denton County Master Gardener Association