Request Reimbursement

Request Reimbursement

Use this form to request reimbursement for an an approved, prepaid expense. If you are requesting a check to pay for something, use the Check Request Form.
Name

First NameLast Name
Email
example@example.com
Describe the purpose of the expense (what was it for):
Date on the receipt

MonthDayYear
Date
Original Payment was made to (vendor name on the receipt):
Amount to be reimbursed
Upload image(s) of the receipt.

Cancelof
Or take a photo of the receipt now.
Reimbursement Options:

We prefer the direct deposit or Zelle options.

If you select "Direct Deposit" we will send you a link through Quickbooks to securely enter your bank's routing and checking account numbers. (We do not have access to that information.) Going forward, we can pay you quickly through direct deposit.

To use Zelle, be sure you are entering the email address or phone number associated with your Zelle account -for students, this might be your parent's information.

If you prefer a check by mail, please include the name we should make the check out to and the mailing address.
Reimbursement Options
I have already set up direct deposit with Choir Boosters
Zelle Phone Number or Email
Enter the phone number or email associaed with your Zelle accountFormat: (000) 000-0000.
Enter reimbursement info or other notes below - Zelle, mailing address, meet up info, etc.
Please confirm:
Signature
Should be Empty: