Design Competition: Reimbursement Form
Complete this form if you need to submit a reimbursement for Design Competition related expenses. As a reminder, reimbursement requests MUST be submitted within 10 DAYS of the event or purchase in order to prevent processing delays and must include proper documentation: electronic copies of ALL receipts, invoices, etc. All reimbursement requests will be taken out of your $500 budget (per team.) Please keep in mind: reimbursements typically take 3-5 weeks to process.

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Questions? Email Nikki:

Your answer
Student PID
Your answer
Email Address
Your answer
Team Name
Your answer
Reimbursement Total
Your answer
Date of Purchase
Description of item(s) being reimbursed
Ex: Arduino boards and LEDs purchased for Design Competition prototype
Your answer
I have received a reimbursement in the past:
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