Reimbursement Request Form Sport Clubs Reimbursement Request Form All expenses MUST be approved in advance of purchase to be eligible for reimbursement. Detailed receipts and proof of payment for the transactions being reimbursed must be included with this request. Sport Club*Club BaseballMilwaukee Equestrian ClubLady Panther Soccer ClubLady Panther Rugby Football ClubMilwaukee Women's Lacrosse ClubMilwaukee Women's Basketball ClubClub TennisGolf ClubPanther Rugby Football ClubBowling ClubTable Tennis ClubWomen's Club VolleyballMilwaukee Lacrosse ClubBlack Cat UltimateMilwaukee Panther Football ClubMilwaukee Sailboat Racing ClubWater Ski ClubClub HockeyTriathlon ClubPaintball ClubOlympic Handball ClubMen's Club VolleyballClub WrestlingAre you a club officer?* Yes No Have you been authorized to drive on University business by University Safety Assurance?* Yes No Not Sure Full Name* First Middle Last UWM Email UWM Student ID #*Send check to:*Reimbursement checks cannot be sent to a University Housing address. Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Trip DetailsName of Event*City/State*Travel Dates:*ReceiptsWould you like to upload copies of your receipts now?* Yes No, I will drop them off to the Sport Clubs Office soon Upload Receipts*Please upload copies of all receipts so that the Sport Clubs Office can start on your reimbursement paperwork. KEEP ALL ORIGINAL RECEIPTS and bring them with you when you come to approve/sign reimbursement paperwork Drop files here or Trip ExpensesExpense Totals*Enter total amount for each category below.LodgingEntry FeesVehicle Rental FeesTollsSuppliesOther Expenses Officer Approval* By clicking this box I am committing my club's SCLC funds to the expenses listed above This iframe contains the logic required to handle Ajax powered Gravity Forms.