TCP Reimbursement Requests

Reimbursement Request Form

If you have used your personal money to pay for something at TCP, please use this form to submit a Reimbursement Request. Do not put any personal financial information on this form.
Requested By*

First NameLast Name
Email Address*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Only enter Address if you would like a Reimbursement Check mailed to you.
Purpose of Expenses*
(e.g. activity, items purchased, etc.)
What program or event were these costs associated with?*

PrismParents4ParentsGender BlenderLO60Rainbow ReadersSpiritual CareLegal Autonomy ClinicCoffee w/ QueersBRITEClothing ClosetFacilitiesGeneral Operating CostsBoard Expenses
Reimbursement Method*

Leave a check at TCPMail a check to mePayPal (e-mail address above must be your PayPal email)

Receipts*

Total Reimbursement Requested
Please attach receipts or other supporting documentation to this form.

Keep original receipts for your records until you have received reimbursment.
Scanned Receipts*

Browse Files
Please scan receipts as separate files. Pictures of the receipts work as long as they are readable. Cancelof
Should be Empty:

Reimbursement Request Form