Club Advisor Reimbursement Form

Club Advisor Reimbursement Form

Please complete this form to submit a reimbursement request.
What you will need to complete the form:
1. Itemized Receipts/Invoice
2. Identify what funds you are accessing
  - Club Funds, ICC Proposal, AS Grant
    
    IF you are using club funds, you must identify a student signer and attach official club meeting minutes
    
    IF you are using club funds for a club event/meeting, you must attach a list of student attendees
3. Short description of what the funds are being used for and how it relates to the club's purpose.
Only club advisors will be able to access and submit reimbursement requests. If a student needs to be reimbursed, advisors will complete the form on behalf of the student.
Club Advisor Name

First NameLast Name
E-mail
Your E-mail Address
Club Name/Organization
Who Is Getting Reimbursed?
Student Reimbursement

If you are completing this form on behalf of a student so they are reimbursed, please input the following information.
Student Name

First NameLast Name
Student ID
Funding Source
Select which funding source your reimbursement is coming from to follow the proper channels.
Type of Activity
Description of Activity
3-5 sentences of what the funds are being used for and how it relates to the club's purpose.

Club Account Funds

Please submit the appropriate documents if you are accessing club funds to be reimbursed.
Official Club Meeting Minutes approving the use of funds for the purchase/items you are being reimbursed for.

Cancelof
List of Attendees: If your club is using club account funds for an event/meeting (ex; dinner party), a list of who was present must be submitted.

Cancelof
Student Signer

First NameLast Name
Student Signer Email
Please use their Butte College student email.

Receipt Submission
Types of Receipts that are ACCEPTED:

- Itemized

- Business Invoice/Receipt

- Original Receipt

- Formal quote from bussiness/store

- Amazon (must show total and all the items purchased)

*must be CLEAR and READABLE

Types of Receipts that are NOT ALLOWED:

- Screenshots

- Bank Statements

- Handwritten Receipts

- Receipts with other personal items

This is not negotiable as it allows us to streamline the process in a timely matter to the Business Office. It is also for auditing purposes by the District. If you have questions about your receipt meeting the criteria, please contact Student Life before submitting the form.
Receipts

You can submit as many files needed.
Cancelof
What's Next?

Thank you for completing this reimbursement request. Reimbursements are processed on a weekly basis. For questions about your reimbursement payment, please contact or schedule a time to meet with Karla.
Should be Empty:

Club Account Funds