Please submit this form within 30 days of incurring the expense(s). Name First Name: Last Name: Email: Expenses Please complete the following table for each expense that you are claiming. Expense Category Description/Business Purpose Vendor Date Purchased Amount Expense Category - Select -Office/Lab SuppliesSoftware/SubscriptionsProfessional DevelopmentMeals (business-related only)Equipment RentalOther (please specify) Description/Business Purpose Vendor Date Purchased Amount Add another expense If you are submitting a meal receipt, please provide the names of everyone in attendance: 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 forms may delay reimbursement. I understand. Upload Files: Please attach all allowable receipts that you are claiming for reimbursement. Multiple files allowed 256 MB limit Allowed 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, and that all expenses claimed were incurred for legitimate business purposes in accordance with Florida State University's reimbursement policy. Full Name: Date: CAPTCHA Math question 1 + 4 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. Submit
