Student Affairs Reimbursement Request Form28.68 KB Cash advances are not permitted under SGA fiscal policy. Receipts MUST be submitted for EACH expenditure. *Receipts MUST be itemized; indicating exactly what items were bought & quantity.* *Receipts MUST have the purchaser’s (original) signature near the total charged amount.* Should your reimbursement include food or beverage items, a list of attended students MUST be attached to your request. SGA is tax-exempt. Please mention this at the point of sale when making purchases. Sales tax will not be reimbursed. You may contact Student Affairs for more information. *Reimbursement requests not received within 30 days from the date of the program/event will not be processed.* Before proceeding, please visit your adviser and ask them to sign the itemized receipt for your purchase. After it has been signed, take a picture of the receipt and attach it below. Attach Receipt: Upload Upload requirementsOne file only.5 MB limit.Allowed types: pdf, jpeg, jpg, png. Student Club/Organization: Adviser Name: Adviser Email: Payment Info Name: Address: Address Address 2 City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Purchase Amount: (Sales tax will not be reimbursed) Specific description and reason for purchase: (i.e. items/goods for what event/trip/etc.) Student Signature: Reset Sign above By submitting this form, you are confirming that your adviser is aware of this request and has approved it. Please allow approximately two (2) weeks for your reimbursement check to be processed and mailed out to you through the Bursar and University Park. Submit
Office of Student Affairs 206 Joe and Rosie Ruhl Student Community Center 717-771-4045 Meet the Staff