Comox Valley Unitarian Fellowship

Request for Reimbursement of Funds

  • MM slash DD slash YYYY
  • Please include details ie: Jane Doe Workshop on Feb. 11, 2009, or photocopying for …
  • Which committee’s budget does this expense come from?
  • Total amount of reimbursement.
  • Requested amount must match receipts.
    Drop files here or
    Accepted file types: jpg, gif, png, pdf, Max. file size: 64 MB, Max. files: 10.
    • Who should we make the reimbursement cheque out to?
    • Please include your mailing address if cheque is to be mailed.