Reimbursement Request
Please download and complete the reimbursement request form.
Fill out the form and combine the form PDF and all receipts to create one, single PDF.
Rename the file as follows:
[Budget Category]_[Brief Description]_[Name to Be Reimbursed]_[$Amount]
For example
UniversityOutreach_Mini PSWC_SurajPatel_$100.pdf
Send form via email to
If you have reimbursement requests for more than one budget category, we ask that you fill out individual forms for each category.