skip to Main Content

Welcome to our Reimbursement Requests and Invoice Submissions form. We hope this makes it easy for you to submit receipts or invoices for your fund’s expenses.

A few things to Note:

  • Unless previously submitted, we require a W-9 for the following:
    • If payment is to an individual for services provided (not a reimbursement)
    • If payment is to a company that is an LLC, sole proprietorship, or partnership
    • If payment is to an attorney
  • Payment Timelines
    • Checks are typically available one to two weeks from the date requested. On regular, non-holiday weeks, requests received by the end of the business day Tuesday are printed that week and ready to mail by Friday. If a request is received on Wednesday or later, it is printed in the next week’s batch of checks.

If you have any questions, you are welcome to email us: vkimmel@cfalleghenies.org.

***PLEASE NOTE – you must hit SUBMIT at the bottom of the form for us to receive it. After you click the SUBMIT button, please scroll through the completed form to make sure there are no error messages preventing it from sending.***

Please note: If your submission is successful, you will receive an email confirmation with all of your responses included. If you do not, please contact us at vkimmel@cfalleghenies.org to let us know. 

Reimbursement Requests/Invoice Submissions

Form for Funds requesting reimbursements/invoice submissions.

"*" indicates required fields

Your Email*
Payee Address
Itemized Expenses*
Please list expenses by date, description of expense, purpose of expense, and amount. Receipts/invoices are required for all payments. (Use the + icon to add more rows - one row for each expense).
Receipt Date
Description
Explain purpose and use of this purchase
Amount
 
This is the total of all itemized expenses.
Is this expense related to a fundraiser?*
Receipt of Payment*
Please upload a scan, photo, or otherwise digitally formatted receipt or invoice for each payment. Receipts or invoices are required for all payments.
Drop files here or
Max. file size: 900 MB.
    Please explain here if you have a special request for your payment. or if there's anything else we need to know to process your request.
    By typing your name in this box, you certify that you are authorized to make payment requests on behalf of the Fund stated above.
    This field is for validation purposes and should be left unchanged.
    Back To Top