Reimbursement Form

Expenses List

	Purchase Date	Vendor	Product/Service Description	Cost
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Total Reimbursement
Instructions:

(1) Ensure receipts are on a dark surface. (2) Provide ample light. (3) Align receipts and take the photo.
Upload invoice(s)/receipt(s)*

Browse Files

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I certify*

I certify that all information entered above is valid and true.Original receipt(s) required for all reimbursements.
NOTE: If items has already been purchased, please attach receipt(s) to this form. Otherwise, provide receipt(s) as soon as possible after purchase. Approval must be obtained on all purchases. Failure to obtain approval may result in purchaser having to incur the expense(s). Signature of the NAA President is required before Treasurer will issue reimbursement.
Signature of Requester*

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