Astronomy Purchase Reimbursement FORM

UW PURCHASE REIMBURSEMENT REQUEST

For UW Faculty, Staff, and Student Employees
Date

MonthDayYear
Date
First Name*
Last Name*
Email*
example@uw.edu
UW NetID
EXPENSE DETAILS
Department Event?
Select from recurring department events if applicable
Business Purpose:*

Add specific reimbursement items here:

	Purchase Date	Item Description	Cost
1
2
3
4
5

Total Amount Requested:
Partial Reimbursement?*

YESNO
Partial Reimbursement Amount Requested:
Partial Reimbursement Reason:
Does this reimbursement include Food?*

YES - Attendee List is AttachedNO
LIST OF ATTENDEES REQUIRED.

FOOD APPROVAL FORM REQUIRED
Food Purchase Approval Category

Food Approval Form AttachedFood Approval Form on File in DepartmentFood Approval Not Required (Discretionary Resource)Research Grant Allows Food PurchaseOther
If this reimbursement is above the calculated per diem, do you want this overage included in the reimbursement? Please review UW Meal Per Diem policies.*

YESNO
If Yes - Over per diem costs must be associated with RS100203 Discretionary Funding. Please ensure the FDM provided includes this resource tag.
If No - AST will calculate the reimbursement as per diem only
Does this reimbursement include Alcohol?*

YESNO
If Yes - Alcohol must be associated with RS100203 Discretionary Funding. Please ensure the FDM provided includes this resource tag.
FUNDING
Approver Name*
i.e., PI, Advisor, Administrator for Dept. funds. PI's should select Grant Manager for their own grants.
Approver Name 2
Enter Approver Name here if not included in the drop-down list
Approver Email*
PI/Faculty Budget
Department Budget (If known)
Additional Worktag(s) if needed:
If Worktags are unknown, type a budget description (i.e., xx startup) into the comment section. Astronomy fiscal staff will complete fields if needed.
Would you like to split the costing allocation?

YESNO
SPLIT Allocation Driver Worktag2
Split Allocation %
Additional Funding Comments:
Enter any funding details or notes (i.e, split percentages)
SUPPORTING DOCUMENTATION
Food Purchase Checklist:
List of Attendees:
Purchase Checklist:
Upload Supporting Docs/Receipts:

Cancelof
If using a mobile device:
Comments:
IMPORTANT:

The UW Non-travel Reimbursement Policies including unallowable expenses, and receipt/records requirements can be found here.
- Purchase reimbursements must be submitted to the Astronomy Office within 60 days of: the end of the trip (for travel-related expense reimbursements) and the date of the purchase (for non-travel-related expense reimbursements).
- As of July 1, 2023, AST (College Administrative Support Team) no longer processes reimbursements for receipts incurred more than 90 days before ticket submission. The department requests it within 60 days to allow for processing time between the department and AST. If you are submitting a reimbursement that falls after 60 days but within 90 days, please notify uwastro@uw.edu immediately.
- Purchase reimbursement requests received after 60 days but within 90 days are not guaranteed but will be prioritized and processed to the best of our ability.
- Purchase reimbursement requests received after 90 days are ineligible for reimbursement and will not be processed.
Select "Save for Later" to return and complete form another time.

Select "Review" to review and sumbit reimbursement request.

By selecting the "Submit" button, you are acklowledging that you have read and understand the 60/90-day Rule as desribed above, and have read and understand the UW Finance Procurement Policies pertaining to reimbursements.
Should be Empty:

UW PURCHASE REIMBURSEMENT REQUEST

EXPENSE DETAILS

FUNDING

SUPPORTING DOCUMENTATION