Student Organization Purchasing and Reimbursement Request Form
STEP 1: Purchasing Request
(completed by Financial Officer)
All purchases must be pre-approved. Section 1 must be completed and approved before any purchases are made. Forms must be
submitted 10 business days in advance of the event date or date of expense. If not, you may not be reimbursed.
Financial Officer Name:
Date:
Group Name:
Budget Number:
E-Mail:
Phone:
Payee Information
Circle All That Apply:
Student
University Employed Student
Faculty/Staff
Payee Name:
JHED ID:
E-mail:
Phone:
Mailing Address:
Purchase Information
Event Name:
Location:
Event Date:
Approximate Attendance:
Brief Description of Event/Purchase:
Estimated Expense Amount:
Reason for reimbursement vs. other payment method:
Financial Officer Signature:
STEP 2: Student Leadership and Involvement Approval Process
(completed by SLI staff)
Once you have submitted your form a Student Leadership and Involvement staff member will review your request and get back to
you within 2 business days. You can pick up your signed request at the SLI desk. Once approved, you may make your purchases.
Name:
Status:
Approved
Denied
Follow-up Needed
Signature:
Date:
Comments:
STEP 3: Reimbursement Receipts and Documentation
(completed by Financial Officer)
To get reimbursed for your expense you must submit original itemized receipt(s) along with your completed and approved
Purchasing and Reimbursement Request form within 30 days of the receipt date or by the last day of final exams for that semester,
whichever is sooner. Please note it can take up to 15 business days or more for reimbursements to be processed.
Receipts Vendor/Description/Purpose
Amount
1
2
3
4
TOTAL REIMBURSEMENT (without sales tax):
Please review Reimbursement Checklist on back
*
Student Leadership and Involvement Office | Mattin Center, Room 131 |410-516-4873 |
SLandI@jhu.edu