Request for Payment

How to fill out a Reimbursement Form:
Download and print a Reimbursement Form here: [[Media:REIMBURSEMENT FORM (S15).pdf|Reimbursement Form - FY15]]

''Please turn in completed form and receipts to the CLA. Incomplete forms or forms missing receipts will be returned to group mailboxes. PLEASE check your mailboxes.'' Receipts and other documentation should have the name of the vendor on them, and need to be itemized and original. Ask for a receipts when you place your order.

When ordering Sibies, you must ask for an itemized cash receipt when you order the food!


 * FILL in the name of who you are paying and the contact information
 * FILL in today’ s date, NOT the date a purchase was made
 * FILL in complete address information including phone and email contacts:
 * STUDENTS: Your legal address is the one on file with Hampshire College and the mailing address is your box # at Hampshire where the Business Office will send checks.
 * FILL in total amount to be paid which is one of two things. Payment may be the total amount of a reimbursement request that must be supported by attached itemized receipts or a packing invoice. Photocopies of receipts will not be accepted under any circumstances.
 * EXPLANATION of payment should be a concise description of the items purchased and the purpose of their acquisition. Indicate whether it is meeting food or an event when applicable.
 * SIGNERS must fill in name, box, group name and account number to be charged

Please note:
 * Signers cannot authorize reimbursements for themselves
 * The college does not reimburse tax. When making the purchase, tell the vendor that you are being reimbursed by Hampshire, and that your purchase is therefore tax exempt

Back to Student Group Signer Manual