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.
Your Name
*
First Name
Last Name
Your CMSA Position (Commissioner, Board Member, etc.)
*
Your CMSA Email
*
Sport Seeking Disbursement / Reimbursement
*
Please Select
Badminton
Basketball - Open
Basketball - W+
Cornhole
Dodgeball - W+
eSports
Flag Football - Open
Flag Football - W+
Kickball
Pickleball
Pool / Billiards
Soccer - Open
Soccer - W+
Softball - Open
Softball - W+
Ultimate
Volleyball Indoor - Open
Volleyball Indoor - W+
Volleyball Beach
General Fund
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.
*
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:
*
Yes
No
Not Applicable
Any additional comments
Please attach your receipts
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of
Date
*
-
Month
-
Day
Year
I certify
*
I have attached all necessary receipts and affirm that the above disbursements / reimbursesments are appropriate and adhere to the guidelines in the CMSA Policy Manual
Submit
Should be Empty: