Reimbursement Form

This form must be completed and approved for all MTA Guild reimbursement requests.

Receipts and/or supporting documentation must be attached electronically to this form.

Please allow up to 2 weeks for reimbursement.

For large or out of budget expenses, please contact one of the Guild Presidents before purchasing.

Thank you!

-Sara Snyder & Amanda Boxwell (mtaguildboard@gmail.com)


Name
Name

Email
Email

Guild Function/Committee
What Guild Function/Committee was this expense for?

Reimbursement amount
Total reimbursement amount:

Receipt #1
Receipt #1 (upload copy here)

Receipt #2
Receipt #2 (upload copy here)

Receipt #3
Receipt #3 (upload copy here)

Receipt #4
Receipt #4 (upload copy here)

Receipt #5
Receipt #5 (upload copy here)

Reimbursement method
How would you like to get paid? Zelle Check in the mail

Mailing address
Only complete if requesting Check and the mailing address is different than the address on file in the directory

Zelle
Only complete if requesting Zelle. Please confirm your bank account email / phone number on acct

Name of person to be paid
Name of person to be paid if different that above

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