Reimbursement Form

The reimbursement form is an essential tool for members of the student council who have incurred expenses while organizing events, projects, or activities on behalf of KUCSC. This form serves as a formal request for reimbursement and streamlines the process to ensure that you are promptly reimbursed for your out-of-pocket expenses. If you have any questions about filling out this form feel free to contact the Chief Financial officer, finance@kucsc.com.

Please give careful attention to accurately completing this form. Ensure your writing is concise and clear. Failure to do so may result in non-reimbursement. Download the physical copy of the Reimbursement Form here.

Name

First Name

Last Name

Email

Phone (Optional)

(###)

###

####

Position

Who is responsible for this purchase (the name for the cheque)?

First Name

Last Name

Provide the full amount that was spent for the purpose of reimbursement:

$

Provide a description of the expense, including the budget category for this purchase:

Note: Please ensure that all applicable receipts are included in the form. Unless a receipt is received for the correct amount and all sections of this form are completed, the KUCSC will not issue a cheque. Please only use one reimbursement form for each individual purchase. This form is limited to items that are approved by KUCSC and are within your designated budget.

Disclaimer

I hereby authorize the amount indicated above to be withdrawn from the specified budget. I acknowledge that I am accountable for obtaining approval from my Vice President or Officer for this form, followed by submission to the Finance Department for final authorization. I recognize that KUCSC is not responsible for delivering issued cheques. KUCSC requires that collected cheques be picked up within a timeframe of two (2) weeks following the completion and submission of the reimbursement form.

I Consent