Chapter Officer Voucher (Jan 2026)

CHI CHI OMEGA CHAPTER OFFICER VOUCHER

This voucher form is required for reimbursement and PEX card funding requests. FOR USE BY: 1ST ANTI BASILEUS, CUSTODIAN, EPISTOLEUS, GRAMMATEUS, CHAPLAIN AND GRADUATE ADVISOR. (Please allow 15 Business days for processing of your request.)
Is this a PEX card funding request or reimbursement request?*
Amount of the expenditure request. (Please provide an exact amount.)*
If your request is $600 or greater, you must upload a W9. The W9 must show the tax classification.
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Officer *
Please scroll through the list and select an option.
Line Item*
For self-funded events, include the payment link name in the explanation.
Please explain (in detail) the purpose or reason for your request and provide supporting documentation.*
File Upload*

Please upload any contracts/agreements, invoices, receipts, W9s, ads/magazine submissions, other supporting documentation
Cancelof
Date of submission

MonthDayYear
Date
Hour MinutesAM/PM Option
Finance Email (source)
example@example.com
Finance
Finance2
Signature
Should be Empty:

CHI CHI OMEGA CHAPTER OFFICER VOUCHER