JSGA Expense Reimbursement Form
Please fill out this form to submit expense receipts to the Jain Society of Greater Atlanta. Make sure to select the correct category and upload a clear receipt. Reimbursement will be processed after review. Thank you!
Name
*
First Name
Last Name
Phone Number
*
E-mail
*
Your E-mail Address
Expense Category
*
Please Select
Kitchen
Pathshala
Pooja
Facility
Events
Other
If Other please specify details
Expense List
*
Purchase Date
Description
Cost ($)
1
2
3
4
5
Total Cost
Receipt
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Notes
I certify that all information entered above is valid and true.
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