Name First Name: Last Name: Email: Expenses Please complete the following table for each P-Card purchase you are submitting. Expense Category Description/Business Purpose Vendor Date Purchased Amount Expense Category - Select -Office/Lab SuppliesSoftware/SubscriptionsProfessional DevelopmentEquipment RentalOther (please specify) Description/Business Purpose Vendor Date Purchased Amount Add another expense Additional Expense Details: Receipt Attachments Original receipts must be attached for all expenses. All receipts much show the items purchased and amounts, payment method, and date of purchase. Incomplete or inaccurate submissions may delay processing. I understand. Upload Files: Please attach itemized receipts for all P-Card purchases listed above.Multiple files allowed256 MB limitAllowed types: pdf, doc, docx, png, jpg, jpeg Upload Receipts Upload Acknowledgement By typing your name below, you are declaring that all the information provided in this form is accurate and complete. Full Name: Date: CAPTCHA Math question (15 + 4 =) Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. Submit
