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Employee reimbursement form 2026
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- Click ‘Get Form’ to open the employee reimbursement form in the editor.
- Begin by filling out the 'Claimant and Claimant’s Supervisor/Manager' section. Enter your name, EIN, and signature along with the date of signing. Ensure that all fields are completed accurately.
- In the 'Amount Incurred' section, list each expense along with the corresponding 'Date Incurred' and a brief 'Description' of each expense. Make sure to total these amounts correctly.
- Next, move to the 'For Agency Approval and Payroll Entry' section. Here, ensure that the total matches the amount listed above. Fill in all required fields including Pay Code, PPE Incurred Date, and Accounting Unit.
- Attach all necessary receipts as originals or true copies to support your claims before submitting the form for approval.
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Related links
To request employee reimbursement for University of Arizona active employees. This form is optional if the employee prefers to sign the UAccess Financial DVRead more
Jul 25, 2022 Claim for Reimbursement for Expenditures on Official Business. Information. Form Number: OF1164; Current Revision Date: 11/2017Read more