PAYS Expense Reimbursement Request

PAYS Expense Reimbursement Request

Use this form to request reimbursement for approved expenses incurred on behalf of Plympton Association of Youth Sports. Please submit one request per purchase and attach a receipt or other supporting documentation.
Requestor Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
PAYS Role
Vendor / Payee
Purchase Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Total Reimbursement Requested ($)
USD
Does this expense need to be split between multiple programs or expense categories?
Program
Season
Expense Category
Amount Requested 1 ($)
USD
Description / Business Purpose
Additional Expense Allocation

Complete this section for the portion of the expense that should be assigned to a different program or expense category.
Program 2
Expense Category 2
Allocation Amount 2 ($)
USD
Description / Business Purpose 2
Receipt

Cancelof
Budget Status
Expenses outside of or exceeding an approved PAYS budget require Executive Committee approval before funds are committed. If you are unsure, select “Unsure.”
Executive Committee Approval

Complete this section if the expense is outside of or exceeds the approved budget.
EC Approval Obtained?
Approval Details
Please identify who approved the expense and the date of approval.
Certification
Should be Empty:

Additional Expense Allocation