Use this form to request funds to be loaded onto your Bill card. You can select multiple anticipated uses. This form is designed to help you plan ahead and budget for upcoming needs for your team or the family you’re supporting.

We encourage teams to not keep an excessive amount on a Bill card at a time due to the risk of loss or theft.

Please fill this out as accurately as possible so we can ensure timely approvals and appropriate fund allocation.

Note: If you or another team member needs to be reimbursed for a specific expense, that request must be submitted directly through your Bill account, not through this form.