Portland, Oregon 97203-5798-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your UP ID # in the designated field. This is essential for identification purposes.
3. Fill in the date of the request to ensure timely processing.
4. Complete the payee name fields with your first and last name accurately.
5. Provide your complete address, including street number, city, state, and ZIP code.
6. If applicable, specify delivery instructions for faculty and staff, including contact details for pickup.
7. Detail the fund, organization, account, activity, and amount fields as required for your reimbursement request.
8. State the business purpose of payment clearly to justify the request.
9. Ensure that an authorized budget approver signs and dates the form before submission.
10. Attach original receipts or invoices as required and review all entries for accuracy before finalizing.

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