GMUAA Board and Chapter Reimbursement Request

Requester's Information

Name(Required)

First Last

Primary Email(Required)

Enter Email Confirm Email

Phone(Required)

Country Phone Number

On behalf of which entity are you making this request:(Required)

What is your volunteer role/position on the above board/chapter?(Required)

Reimbursement Expense Information

Please provide all available details below. This request will be forwarded to the designated chapter president/treasurer for approval and processing (appx. 1 business week). A check will then be issued to you upon approval. Please contact the Office of Alumni Relations, [email protected] or (703) 993-8696 for questions or assistance/follow up.

If you are a current Mason employee, your reimbursement request will need to go through the Mason Finance Gateway. Please contact Fermina at [email protected] for more information.

Please upload a .pdf, .jpg or .png photo/copy/scan of the receipt for this expense:(Required)

Accepted file types: pdf, jpg, png, Max. file size: 50 MB.

Date of Purchase:(Required)

Store/Vendor:(Required)

Are we reimbursing you for part or all of the represented charges on the attached receipt(s)?(Required)

Amount to be reimbursed:(Required)

Please describe the purpose for this expense (include event/meeting related info and why items were purchased):(Required)

Was this expense pre-approved by the board/chapter President and/or Treasurer?(Required)

Yes

If you selected pre-approved, please upload a .pdf of the email chain/approval for the expense:

Accepted file types: pdf, Max. file size: 50 MB.

In order for the foundation to process your reimbursement they require a W-9.

Please upload your W-9. This form can be found at https://www.irs.gov/pub/irs-pdf/fw9.pdf

Max. file size: 50 MB.

Do you prefer to pick up the check or have it mailed to you?(Required)

I will pick up the check (Fairfax Campus)

Mail the check to me

If you selected to have the check mailed to you, please provide a correct mailing address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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