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Reimbursement Request Form
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This form is available as a Google Sheet at www.brssd.org/business-services. Please do the following: (1) open the link, (2) click on "Reimbursement Request Form," (3) in the Google Sheet menu, click on "File" and then "Make a copy," (4) rename the form for your Drive, (5) complete all sections (totals and amount of check will calculate automatically), (6) print the form, (7) attach all emails showing pre-approval, invoices, receipts, and proofs of payment, (8) sign and date, and (9) submit to your Principal or Department Head for review and approval.
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Check payable to:
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Deliver check to (name of school or address):
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Note: If you receive cash back from your credit card provider, please enter the amount generated by your purchases under "Cash Back Credit."
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Date of ExpenseVendorReasonCostCash Back CreditNet CostAccount String (SACS 26-digit code)
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 $0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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Totals$0.00$0.00$0.00
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You must attach all itemized invoices and receipts and proof of payment.
TOTAL DUE
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Signature of Person Being Reimbursed:Date:
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Signature of Principal or Department Head:Date:
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Note: This form and a copy of the completed requisition should be forwarded to the District Office attn: Budget & Accounting Supervisor for additional review and processing.
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Budget & Accounting Supervisor Initials:___________
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Chief Business Official Signature:Date:
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