Expense Report for Reimbursement

List Cost of your reimbursement (Ex. Airfare $350, Taxi $25, Lodging $245) Below you will find the category that you are requesting a reimbursement and list the exact amount. At the end of the form you will be able to upload receipt transactions.

Please allow 30 days for all reimbursements to be issued. Failure to provide all the proper documentation will result in a delay.

All reimbursements will be processed as direct deposit. If you have any questions or concerns, please email operations@kappadeltachi.org

Full Name *
Position *
Division *
Today's Date *
Mailing Address *
Personal Email Address
Purpose of Purchase (Ex. Conference, Expansion) *
Airfare
List cost of your reimbursement
Pins, Delta Boards, etc.
List cost of your reimbursement
Meals - Breakfast, Lunch, Dinner
List cost of your reimbursement
Taxi/Shuttle/Lyft
List cost of your reimbursement
Mileage Calculation ($0.60)
List cost of your reimbursement
Car Rental
List cost of your reimbursement
Lodging
List cost of your reimbursement
Baggage Fees
List cost of your reimbursement
Total Amount of Reimbursement Request *
Please upload all receipts associated to reimbursement. *
PDF
Upload
Full Name *
Name listed on bank account
How would you like your reimbursement? *


Routing Number
Account Number