Reimbursement Request

All reimbursement requests must first be approved by office staff. If you do not check with leadership before making a camp-related purchase, your request may be denied.

Date*

Month

Day

Year
Staff Member*

First

Last
Address*

Street Address

Address Line 2

City

State

ZIP Code
Phone*
Receipts*

Date Item(s) Purchased Vendor/Store Name Receipt Total

**To add additional receipts, click on the + symbol to the right of the row.
Total Reimbursement Requested*

Sum of all listed amounts above
Receipts
Max. file size: 64 MB.

Please upload CLEAR images, PDFs, or scans of ALL your listed receipts (or turn them into the office)
Signature
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Reimbursement Request

Date	Item(s) Purchased	Vendor/Store Name	Receipt Total