KABA-GA EXPENSES: Reimbursement Request, Debit Card Usage, and Check Requests
Please use this form for reimbursements, debit card usage or direct check requests. After submitting the form with documentation if necessary, reimbursements and check requests should be mailed by the KABA-GA Treasurer within 6-10 days.
For reimbursements: you may aggregate a set of receipts relating to one expense category, but do NOT aggregate expenses across different categories (i.e. mixing KABA Birthday Celebration expenses with Happy Hour expenses). After you submit the form, scan or take a picture of receipts and send them to
. Without receipts, the reimbursement process will not be completed.
For debit card usage/check requests: please submit this form once for each use or request. Receipts are not necessary.
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Is this a reimbursement, check request or a debit card charge?
Debit Card Charge
What is your name?
What is your email address?
What is your phone #?
For check requests, what is the name of the vendor or party receiving the check?
For reimbursements, please list each line item expense and the amount of the expense.
What is the total amount of the reimbursement, check request or debit card charge? Please omit the dollar sign ($).
What date the expense occur? (For check requests, please enter today's date.)
What is the best mailing address for the reimbursement/check requests to be sent? (Debit charge submissions can ignore this question.)
What type of expense is this?
Lunar New Year
Annual Birthday Celebration
Law School Exam Workshop
Resume/Mock Interview Workshop
If you have other comments for the Treasurer or special requirements, please describe them below.
Send me a copy of my responses.
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This form was created inside of The RMN Agency.