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2023-24 Season
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Reimbursement Request Form
Reimbursement Request Form
This form should only be used for employee reimbursements for a pre-approved purchase on your personal card on behalf of Danceworks.
Keep in mind: Reimbursements are added to your biweekly payroll. If the request form is not submitted by the timekeeping due date, it will be processed for the following payroll. See Danceworks
Payroll Dates
for more information.
For additional questions, contact
payroll@danceworksmke.org
.
Name
*
First
Last
Email
*
Vendor: Refers to the organization/business that was paid by the employee completing this request.
*
Purpose: Refers to the reason for the purchase. (Ex.) Tape for studio floors, office supplies, or signage for the Mad Hot Competition
*
This purchase was approved by _____________________. Purchase approval is required for all reimbursements.
*
Upload File: To complete the reimbursement request, all transactions require proof of purchase. This may include but is not limited to receipts or email confirmations with the Vendor name, total, and purchase date listed.
*
Amount to be reimbursed
*
Upcoming Payroll Date
*
Is this a recurring reimbursement?
*
Yes
No
Additional Information
Submit
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