Expense & Reimbursement Form

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This form can be used by any individual (including non-PFLAG members) to get reimbursed for expenses associated with an item / event previously approved by PFLAG SGV API board members (if such expense requires board approvals). Multiple expenses for the same project / event can be grouped into one form; it's not necessary to submit multiple forms for each item.

Email *

What is this expense / reimbursement for?

Expense Funding *

Grant - APCF

Grant - Dream Team

Grant - GAPA

None - General Budget

Unknown

Other:

Expense Type *

Multiple expenses for the same event / project can be grouped into one form and one total. No need to submit multiple forms.

Food

Travel / Transportation / Lodging Expenses

Marketing Expenses

Operational / Administrative Expenses

Charity Contributions

Event / Sponsorship

Other:

Amount *

Payee *

Address to Send Check (Optional)

Check request can be sent directly by the bank to vendor / service provider when address is known. Reimbursement check can also be sent directly by the bank to requester. If no address has been entered, check will be delivered by Treasurer in person.

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