DePaul University EMPLOYEE REIMBURSEMENT FORM
Bring this form to the CASHIER'S OFFICE for reimbursements of less than $100. If $100 or above, submit to ACCOUNTS PAYABLE in person or via interoffice mail. There is a limit of $100 per day.
IN ALL CASES, PLEASE ATTACH ALL ORIGINAL RECEIPTS
 
Name Empl ID    
Dept Extn    
Addr City Zip
EXPENSE DESCRIPTION AND PEOPLESOFT CHARTFIELD ALLOCATION
Expense &
Biz Purp
Total
Amount

Acct

Fund

DeptID

Prog

Class
Proj
Grant
 

Expense &
Biz Purp
Total
Amount

Acct

Fund

DeptID

Prog

Class
Proj
Grant
 

Expense &
Biz Purp
Total
Amount

Acct

Fund

DeptID

Prog

Class
Proj
Grant
 

Expense &
Biz Purp
Total
Amount

Acct

Fund

DeptID

Prog

Class
Proj
Grant
 

Expense &
Biz Purp
Total
Amount

Acct

Fund

DeptID

Prog

Class
Proj
Grant

TOTAL REIMBURSEMENT    
Grand
Total:

 

EMPLOYEE NAME (PRINT):________________________________________________________________

 

DATE:_________________

 

EMPLOYEE SIGNATURE:__________________________________________________________________

 

DATE:_________________

 

BUDGET MANAGER SIGNATURE:____________________________________________________________

 

DATE:_________________

 

APPROVING MANAGER/DESIGNEE:________________________________________________________

 

DATE:_________________