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Reimbursement Request

USH Request for Reimbursement/Funds

Please fill out the fields below to receive reimbursement.  Details of the activity or event helps us identify the fund or department, your best effort is appreciated.  Purchase receipts are required for reimbursement.
(Or purchase date)
By providing an email address, the payee will receive an email inviting them to create an account and receive direct deposit payments.  The processing time to receive paper checks is 12 to 15 business days.
Payee

 
Payment will not be issued without proof of purchase

Wed, March 29 2023 7 Nisan 5783