Expense Reimbursement Form Version 05 -02 13 - projecthealingwatersdenver 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the mandatory fields: Name, Address, City, State, ZIP, Phone, Email, and PHWFF Program. Ensure all information is accurate for processing.
3. In the 'Reason for Claim' section, specify the purpose of your reimbursement request. This could include travel expenses or purchases related to your activities.
4. For travel claims, enter the date of travel and select the type of claim. Attach receipts for any costs over $25.00 and provide details on miles driven if using a personal vehicle.
5. Complete the purchase claim section by entering relevant dates and attaching receipts for all items purchased. Use duplicate forms if necessary.
6. Sign and date the form at the bottom. Ensure you have obtained any required approvals before submission.
7. Email your completed form along with scanned receipts to your superior or mail them as instructed.

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