EXPENSE REIMBURSEMENT REQUEST Date(Required) MM slash DD slash YYYY Full name(Required) First Last Email(Required) Total amount to be reimbursed:(Required)Enter the GRADE, the DESCRIPTION and the PURPOSE of the item(s) that has been purchased(Required)How would you like to receive your reimbursement?(Required) As a cash back As a work credit ATTENTION! DO NOT CLOSE THE BROWSER NOR CLICK THE BACK BUTTON UNTIL YOU SEE A CONFIRMATION PAGE!Upload your receipt(s) HERE:(Required) Drop files here or Select files Max. file size: 64 MB.
