Department Chairman Expense Reimbursement | AMERICAN LEGION AUXILIARY

Department Chairman Expense/Award Reimbursement Form

This form is to be used only for Department Chairman to be reimbursed for their yearly budgeted expense/award. This form MUST BE submitted within 30 days of purchase. Any submissions after 30 days will result in the denial of reimbursement.

"*" indicates required fields

This form is to be used only for Department Chairman to be reimbursed for their yearly budgeted expense/award. This form MUST BE submitted 30 days prior to June 30th.

Name*

First Last

Email*

Department Chairman Title*

Budgeted Amount*

Expenses Previously Submitted and Reimbursed as of Today*

Remaining budgeted amount to be reimbursed (as of today)*

This is Budgeted Amount minus and Expenses previously submitted and reimbursed for

Current Reimbursement Amount Being Requested*

Documents Upload

FORMS MUST BE UPLOADED AS A PDF. PICTURES, JPEG, OR ANY OTHER FORMAT CAN NOT BE USED. USING ANY FORM OTHER THAN A PDF WILL CAUSE YOUR SUBMISSION TO BE DELAYED AS IT IS NOT CONSIDERED COMPLETE.

Receipts and Backup Documentation*

Accepted file types: pdf, Max. file size: 1 GB.

Date*