MU IOTA CHAPTER

Reimbursement Request Form

Reimbursement Procedure

  1. Expense must be pre-approved by the Executive Committee with original receipts.
  2. Complete this form with all required information.
  3. Attach documentation (receipts or written explanation).
  4. Submit to Keeper of Finance within 30 days of expense.
  5. Keeper of Finance reviews; Executive Committee approves/denies within 14 days.
  6. Reimbursement issued within 14 days of approval via Check, Zelle, PayPal, or Other.

Member Information

Expense Details (Check all that apply)

Supporting Documentation

Reimbursement Method

Chapter Approval Section (For Official Use Only)

This section is completed by the Keeper of Finance and Basileus after submission.

Checklist ItemYes/No
Form fully completed
Expense aligns with approved activity
Submitted within 30-day window
Receipts or proof included
Executive Committee approval received
Keeper of Finance: ________________ Date: ______
Basileus: ________________ Date: ______