Expense Reimbursement Form
Your Name
*
First Name
Last Name
Name for Reimbursement Check (if different)
*
If you prefer reimbursement through Venmo, please provide your Venmo handle and the last four digits of the phone number associated with the account.
Department
*
Stage Management
Scenic
Wardrobe
Lights
Sound
Props
Front of House
Other
Please list expense(s) in the table below and complete all information. NOTE: Item Category must be from the Department list above.
Rows
Item Category
Purchase Date
Vendor
Cost
1
2
3
4
5
6
7
8
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
Upload photo of receipt for item 6
Upload a File
Cancel
of
Upload photo of receipt for item 7
Upload a File
Cancel
of
Upload photo of receipt for item 8
Upload a File
Cancel
of
Total Amount of Requested Reimbursement
*
NOTE: Expenses must fall within your Department's budget. Purchases that exceed the Department Budget must be pre-approved by the Production Manager. Expenses that exceed budget and were not pre-approved may not be reimbursed. Do all items on this list fall within your Department's budget or have pre-approval?
*
Please Selecti
Yes
No
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