ACRC Request for Reimbursement
This form is to be used to request reimbursement for ACRC expenditures you paid for with your personal funds. If you have not submitted a request for expenditure, and received approval for such expenditure, you may not be reimbursed for this expense.  Exceptions will be reviewed by the Treasurer. All supporting documents, including itemized receipt or invoice, and reasonable proof of delivery of service or item, must be submitted to acrctreasury@gmail.com before reimbursement will be made.  Fill the form completely and allow for 10 days for processing. Thank you.
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Email *
First and Last Name *
Total Amount of Reimbursement *
Full Address (street, city, state, and zip *
Email Address *
Phone Number *
By checking yes, I affirm I have emailed all supporting documents to acrctreasury@gmail.com *
Required
A copy of your responses will be emailed to the address you provided.
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