This form is used when business expense(s) are paid for with a personal card. Submit one form per “event” (e.g. colloquium, field experiment, lab supply purchases, etc.). Numerous receipts may be included with one Personal Reimbursement Request, so long as all purchasing is for the same event/business purpose.

Please attached all itemized receipt(s) and proof of purchase in a single document.

Note: This form must be completed in one sitting.

APS Propriety of Expenses

PSC Statement for Official Functions

PSC Statement for Sensitive Expenses