Reimbursement Request Requesting a reimbursement via an ACH transfer. If you would like a check sent to you instead please reach out to Dena at [email protected] Name* First Last School Email Address* @columbia.edu or @barnard.eduI'm requesting...* A reimbursement for myself A reimbursement on behalf of someone else A check to be sent to someone for their services (ie guest lecturer, etc) What budget is this coming from?*OtherAJLIAlternative break - ASBAlternative break - AWBAlternative break - HabHumAryehBig/LittleBirthright Street TeamChallah for HungerDarsky ScholarshipDIY SederDIY ShabbatEboardEboard - KraftstarterEngagement fellowsGrad - Jewish LearningGrad- Meaningful Jewish ExperiencesGrad - Social EventsGrad- PartnershipsGrad- ShabbatGrad Advisory CommitteeGreek FellowsiEngageIggrot Ha'AriJews of ColorJQKesherKoachNesherTAMIDWNLPYavnehYavneh KiddishYiddish ClubPlease indicate the name of the group or initiative. If indicated "Other" above, please explain* If you are still not sure please reach out to your staff advisor or to Dena at [email protected] before completing this form. Name of event* Date of event MM slash DD slash YYYY Please upload a picture or copy of your receipt or invoice* Drop files here or Select files Accepted file types: jpg, png, pdf, jpeg, Max. file size: 100 MB. If you are submitting an invoice on behalf of a guest speaker who is coming unaffiliated with an organization, please include that person's social security number on the invoice. What is the requested reimbursement amount?*Bank Routing Number* Please write the routing number of the person who should receive the reimbursed amount.Account Number* Please write the account number of the person who should receive the reimbursed amount. If you would like a check rather than an ACH payment please reach out to Dena directly.Your reimbursement will be processed after you submit a list of attendees of the event/the person you met with one-on-one* I submitted the google form with my list I am going to submit the google form with my list Not applicable for my reimbursement Complete this form: https://forms.gle/wyd61nceJRNxWTtM7 Reimbursement Request Requesting a reimbursement via an ACH transfer. If you would like a check sent to you instead please reach out to Dena at [email protected] Name* First Last School Email Address* @columbia.edu or @barnard.eduI'm requesting…* A reimbursement for myself A reimbursement on behalf of someone else A check to be sent to someone for their services (ie guest lecturer, etc) What budget is this coming from?*OtherAJLIAlternative break – ASBAlternative break – AWBAlternative break – HabHumAryehBig/LittleBirthright Street TeamChallah for HungerDarsky ScholarshipDIY SederDIY ShabbatEboardEboard – KraftstarterEngagement fellowsGrad – Jewish LearningGrad- Meaningful Jewish ExperiencesGrad – Social EventsGrad- PartnershipsGrad- ShabbatGrad Advisory CommitteeGreek FellowsiEngageIggrot Ha'AriJews of ColorJQKesherKoachNesherTAMIDWNLPYavnehYavneh KiddishYiddish ClubPlease indicate the name of the group or initiative. If indicated "Other" above, please explain* If you are still not sure please reach out to your staff advisor or to Dena at [email protected] before completing this form. Name of event* Date of event MM slash DD slash YYYY Please upload a picture or copy of your receipt or invoice* Drop files here or Select files Accepted file types: jpg, png, pdf, jpeg, Max. file size: 100 MB. If you are submitting an invoice on behalf of a guest speaker who is coming unaffiliated with an organization, please include that person’s social security number on the invoice. What is the requested reimbursement amount?*Bank Routing Number* Please write the routing number of the person who should receive the reimbursed amount.Account Number* Please write the account number of the person who should receive the reimbursed amount. If you would like a check rather than an ACH payment please reach out to Dena directly.Your reimbursement will be processed after you submit a list of attendees of the event/the person you met with one-on-one* I submitted the google form with my list I am going to submit the google form with my list Not applicable for my reimbursement Complete this form: https://forms.gle/wyd61nceJRNxWTtM7
