SPS Expense Reimbursement Form (1).xlsx
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Go to File, Download to your Computer, Open Excel, Edit this File, and Send This along with Receipts PDFs. Note: It is our intent to move SPS Finance processes to Paperless in the future so we will likely move to 100% electronic PDF and form submission shortly.) send in attachments to bookkeeping@summitps.org.
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SPS / Summit Prep Expense Reimbursement Request
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Your Name:
Grade Level (Required for Study Trip expenses)
_______________
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Mailing Address:Your Contact Phone # and email
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School Name:
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Date Code (Leave Blank)Business/Company Name that you PaidNote/Nature of Expense (VERY IMPORTANT: Provide all details for the event name, activity, or identifying project related to the expense) Amount
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Checklist - Mark X hereTotal (Leave blank - auto-calculates) : 0.00
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I have signed the requester (You are the requester) signature field below and the director / executive director has signed also.
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I have provided complete details and activity names for each expense listed here.
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I have provided a separate receipt (and if applicable: packing slips, hotel stay confirmation slips, etc.) for each expense listed here. If I have listed 5 expenses, I have submitted 5 separate receipts. Exceptions include San Jose and pre-established mileage rules.
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IMPORTANT: PRIOR TO SIGNING OFF ON THIS DEPOSIT, PLEASE READ AND FOLLOW THE CHECKLIST ABOVE. THIS FORM IS NOT COMPLETE WITHOUT MARKING X ON EACH ITEM TO CONFIRM COMPLIANCE.
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Requester's Signature: ___________________________________
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Director's PRINT NAME and Signature: _____________________________________
Date: __________________________________________________
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