Please pay the following approved expense/reimbursement for the following chapter expense. ORIGINAL supporting documentation is attached. Please ensure the payment is received by ________________________.
Directions: Please complete the form. Attach original receipts or a copy of documentation approving the specific expense (i.e. requests from restricted funds given by the Education Foundation). Forward the form to respective officer for approval, G/L account distribution, and indication as to if the expense was budgeted. An attached FAXED approval from the officer is acceptable. Forward the entire voucher package to the address above. Please indicate the due date of the payment. If an electronic request form is sent and/or electronic approval is obtained, the supporting receipts must be received prior to payment.
IIA Payment Request/Expense Reimbursement Form (Revised 7/13/15)