• PBHA Reimbursement Form

    Prior to submitting this form, please collect all original receipts, and fill out a Missing Receipt Form for lost receipts.
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  • PBHA now requires your bank information for the payment to be direct deposit to your personal bank account.  Please CLICK HERE to access the PBHA Direct Deposit Form and check the box below to confirm that you have completed it.

  • Please choose the expense account below based on the nature of the expense. 

    Itemize expense by type and amount, even if items are on the same receipt.  Deduct sales tax (except for food).  PBHA is a tax exempted organization and cannot reimburse for tax charges.

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    Approver Signature: (Use PDF to sign electronically)

     

     

     

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