Non-Travel Reimbursement Request Form

Please contact Rhonda at 645-6690 or rhondapa@buffalo.edu if you have additional questions or concerns.

Personal Information

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Are you
Are you
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How are you normally paid?
How are you normally paid?
 
 
 
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Expenses to Be Reimbursed

For the sections below, please fill in the space that applicable to you. Please also note that a PDF version of your original receipts for every item requested in each category should be scan and upload along with the form. If you encounter problems with this step, please contact Rhonda Pangrazio at Furnas 308 or at rhondapa@buffalo.edu.

*Please note that sales tax will not be reimbursed.

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(e.g. January 15, 2018)
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(e.g. Amazon, Fisher Scientific, etc.)
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(e.g. pipette tips, volumetric flasks, petri dishes, etc.)
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