Receipt Reporting
Please submit one form per receipt. If your purchase is for more than one department, you will have an opportunity to add those additional items at the end of this form.
Name
*
First Name
Last Name
Your Email
*
example@example.com
Type of receipt
*
Credit Card / Gift Card
Check
Reimbursement Request
Last four digits of your credit card / gift card
*
Check number
*
Merchant name
*
Purchase Date
*
-
Month
-
Day
Year
Date
Description of purchase
*
Purchase Amount
*
Account
*
1610 Asset (Equipment over $500/ needs approval)
1695 Major Building Improvements (needs approval)
7050 Merchandise
7310 Phone/Internet
7340 Conferences & Recreation
7610 Food
7750 Guest Speaker Travel
8220 Outreach Airfare
8250 Outreach Ground Expense
8310 Postage & Shipping
8500 Maintenance (Repairs)
8600 Supplies (Consumables)
8700 Equipment (under $500)
8800 Transportation
8810 Gas/Oil
Department
*
Hospitality
Housekeeping & Janitorial
Kitchen
Office
Properties & Maintenance
Technology
Vehicles
DTS Winter (Lecture Phase)
DTS Summer (Lecture Phase)
DTS Fall (Lecture Phase)
BSN (Lecture Phase)
FTN (Lecture Phase)
Mission Adventures (MadReach)
Phos House
Campus Practicum
Celebrations
Member Care
Staff Development
Outreach
School
*
Outreach Location
*
Location
*
GMC
Training Center
Phos House
Wyoming House
Vehicle
*
101
102
103
104
105
School Bus
Add another item to this receipt report. (E.g. if you bought Food and Cleaning Supplies with the same purchase/receipt, report the purchases and costs for their appropriate Department.)
*
yes
no
Back
Next
Item 2
(Only complete this page if the item is for a separate department. To skip this page and submit your receipt instead, go back and click "no" for the previous answer.)
Description of purchase
*
Purchase Amount
*
Account
*
1610 Asset (Equipment over $500/ needs approval)
1695 Major Building Improvements (needs approval)
7050 Merchandise
7310 Phone/Internet
7340 Conferences & Recreation
7610 Food
7750 Guest Speaker Travel
8220 Outreach Airfare
8250 Outreach Ground Expense
8310 Postage & Shipping
8500 Maintenance (Repairs)
8600 Supplies (Consumables)
8700 Equipment (under $500)
8800 Transportation
8810 Gas/Oil
Department
*
Hospitality
Housekeeping & Janitorial
Kitchen
Office
Properties & Maintenance
Technology
Vehicles
DTS Winter (Lecture Phase)
DTS Summer (Lecture Phase)
DTS Fall (Lecture Phase)
BSN (Lecture Phase)
FTN (Lecture Phase)
Mission Adventures (MadReach)
Phos House
Campus Practicum
Celebrations
Member Care
Staff Development
Outreach
School
*
Outreach Location
*
Location
*
GMC
Training Center
Phos House
Vehicle
*
101
102
103
104
105
School Bus
Add another item to this receipt report. (E.g. if you bought Food and Cleaning Supplies with the same purchase/receipt, report the purchases and costs for their appropriate Department.)
*
yes
no
Back
Next
Item 3
(Only complete this page if the item is for a separate department. To skip this page and submit your receipt instead, go back and click "no" for the previous answer.)
Description of purchase
*
Purchase Amount
*
Account
*
1610 Asset (Equipment over $500/ needs approval)
1695 Major Building Improvements (needs approval)
7050 Merchandise
7310 Phone/Internet
7340 Conferences & Recreation
7610 Food
7750 Guest Speaker Travel
8220 Outreach Airfare
8250 Outreach Ground Expense
8310 Postage & Shipping
8500 Maintenance (Repairs)
8600 Supplies (Consumables)
8700 Equipment (under $500)
8800 Transportation
8810 Gas/Oil
Department
*
Hospitality
Housekeeping & Janitorial
Kitchen
Office
Properties & Maintenance
Technology
Vehicles
DTS Winter (Lecture Phase)
DTS Summer (Lecture Phase)
DTS Fall (Lecture Phase)
BSN (Lecture Phase)
FTN (Lecture Phase)
Mission Adventures (MadReach)
Phos House
Campus Practicum
Celebrations
Member Care
Staff Development
Outreach
School
*
Outreach Location
*
Location
*
GMC
Training Center
Phos House
Vehicle
*
101
102
103
104
105
School Bus
Add another item to this receipt report. (E.g. if you bought Food and Cleaning Supplies with the same purchase/receipt, report the purchases and costs for their appropriate Department.)
*
yes
no
Back
Next
Item 4
(Only complete this page if the item is for a separate department. To skip this page and submit your receipt instead, go back and click "no" for the previous answer.)
Description of purchase
*
Purchase Amount
*
Account
*
1610 Asset (Equipment over $500/ needs approval)
1695 Major Building Improvements (needs approval)
7050 Merchandise
7310 Phone/Internet
7340 Conferences & Recreation
7610 Food
7750 Guest Speaker Travel
8220 Outreach Airfare
8250 Outreach Ground Expense
8310 Postage & Shipping
8500 Maintenance (Repairs)
8600 Supplies (Consumables)
8700 Equipment (under $500)
8800 Transportation
8810 Gas/Oil
Department
*
Hospitality
Housekeeping & Janitorial
Kitchen
Office
Properties & Maintenance
Technology
Vehicles
DTS Winter (Lecture Phase)
DTS Summer (Lecture Phase)
DTS Fall (Lecture Phase)
BSN (Lecture Phase)
FTN (Lecture Phase)
Mission Adventures (MadReach)
Phos House
Campus Practicum
Celebrations
Member Care
Staff Development
Outreach
School
*
Outreach Location
*
Location
*
GMC
Training Center
Phos House
Vehicle
*
101
102
103
104
105
School Bus
Back
Next
Grand total amount reported for all departments:
(Automatically calculated)
Explanation of anything not covered in this form:
Please upload a clear picture of your receipt.
*
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