FSC Non Travel Reimbursement Request Form

Please attach all itemized receipt(s) and proof of purchase for reimbursement request.

This form must be completed in one sitting.

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Indicates required field
Choose your Department/Org # (in 1 of the 3 drop downs)
Please just choose one department from the lists.
CU Employee?
 
 
If NO, is Payee a US citizen?
 
 
Have you uploaded a receipt to Concur?
 
 
One file only.
32 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.
Open for Additional File Upload Fields
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.
One file only.
10 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.
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Is reimbursement food/beverage?
 
 
If "yes" additional form will load and must be filled out
FSC Documentation for Official Functions
Official Function Attendance
 
 

For up to 10 attendees: list names and relationships, e.g. Chris Jones (faculty member); Mary Doe (employee recruit)

Attendee 1
Provide the name for the attendee with the above university relationship
Attendee 2
Provide the name for the attendee with the above university relationship
Attendee 3
Provide the name for the attendee with the above university relationship
Attendee 4
Provide the name for the attendee with the above university relationship
Attendee 5
Provide the name for the attendee with the above university relationship
Attendee 6
Provide the name for the attendee with the above university relationship
Attendee 7
Provide the name for the attendee with the above university relationship
Attendee 8
Provide the name for the attendee with the above university relationship
Attendee 9
Provide the name for the attendee with the above university relationship
Attendee 10
Provide the name for the attendee with the above university relationship
Attendee Totals
Select the relationship of attendees
Select the relationship of attendees
Select the relationship of attendees
Select the relationship of attendees
Select the relationship of attendees
Select the relationship of attendees
Select the relationship of attendees
Select the relationship of attendees
Select the relationship of attendees
Select the relationship of attendees
For more than 10 attendees: list number of individuals and describe the relationship, e.g., students, faculty, staff
An official function is a meeting, meal, or other function that is hosted by an organizational unit, attended by guests and/or associates or employees, and held for official university business. All official functions must comply with the Administrative Policy Statement Propriety of Expenses and the PSC Procedural Statement (PPS) Sensitive Expenses. Please provide all attendees and relationship to the University.
(Please explain in detail how this expense relates to official University business.)
Would you like an emailed copy of this form sent to you?