CHSS Reimbursement Request Form

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To request reimbursement from CHSS, please follow these instructions. After you submit the form, you should see a message confirming successful submission. For questions, please contact Kim Ayre (x3763).

  1. Download a pdf budget report from either Millennium Finance or Banner (FBTD02) showing the posted expense(s).
  2. Mark the expense(s) for which you are seeking reimbursement on the pdf report using the highlight or comment tool in Adobe Acrobat.
  3. Complete this form, attach the prepared documentation, and click Submit to send the request to CHSS.