KofC 5272 Reimbursement Request
Use this form for web or online submissions for reimbursement. This will be emailed to the current financial secretary for submission to the next general business meeting where a check will be issued to you. Please have all receipts ready at that time.
Reimbursee Information
What is ten plus two? *
Are you a real person (spam filter question).
Your answer
First Name *
Your answer
Last Name *
Your answer
Email Address *
Please provide your email address to send you a verification email.
Your answer
Amount *
Just a number please. No dollar sign necessary ($)
Your answer
Reason *
Your answer
To be approved by *
Receipt Link
URL to receipts (Google Drive or Drop Box link) You can upload a photo or PDF of your receipts to a DropBox or Google Drive folder and provide the URL here.
Your answer
Never submit passwords through Google Forms.
This form was created inside of The Knights of Columbus Council #5272.