Expense Reimbursement Form
Please note that if you haven't received an ACH payment from WES in the past, you will received a separate email asking for your information to send the payment digitally. Thank you for working with WES!
Name of Person Seeking Reimbursement
*
First Name
Last Name
Account -- WES Expense Account that should be debited for your reimbursement.
*
Please note which approved budget line item your reimbursement should come from. See the approved budgets on the Members' Section of the WES website -- https://ethicalsociety.org/member-access/membership-meetings/
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Your E-mail Address
Expense Description
Upload photo receipt for item 1
Upload a File
Cancel
of
Upload photo of receipt for item 2
Upload a File
Cancel
of
Upload photo of receipt for item 3
Upload a File
Cancel
of
Upload photo of receipt for item 4
Upload a File
Cancel
of
Upload photo of receipt for item 5
Upload a File
Cancel
of
Total Cost
*
I certify
I certify that all information entered above is valid and true.
Signature
Date
-
Month
-
Day
Year
Date
Save
Submit Form
Should be Empty: