Disbursement / Reimbursement Form

Disbursement / Reimbursement Form
Non-Officiating Reimbursements between $200-$500 must-have approval from Liaison before disbursements are provided. Non-Officiating Disbursements OVER $500 must be paid directly to the vendor. Those must have the approval of the Liaison before payment is made to the vendor.

Payments are processed every two weeks following this following schedule: https://t.ly/vLtK6
Invoice Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Your Name

First NameLast Name
Your CMSA Position (Commissioner, Board Member, etc.)
Your CMSA Email
Commissioner Email (if you are not the commissioner)
Sport Seeking Disbursement / Reimbursement
Season

Please list the names of all people seeking payments. If they have not received payment from CMSA before, please include their email address. When submitting both a reimbursement AND a payment for services for the same person, please use two separate rows. If you need more rows, please use the comment box below or attach an Excel Spreadsheet.

Rows	Name	$ Amount	Reason
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
Person 7
Person 8
Person 9
Person 10

For non-officiating payments over $200, I have received prior approval from my board liaison:
Any additional comments
Please attach your receipts

Cancelof
I certify
Should be Empty:

Disbursement / Reimbursement Form

Non-Officiating Reimbursements between $200-$500 must-have approval from Liaison before disbursements are provided. Non-Officiating Disbursements OVER $500 must be paid directly to the vendor. Those must have the approval of the Liaison before payment is made to the vendor.