Staff Reimbursement Form Staff Reimbursement Form Name First Last Today's Date* Month Day Year Program Date* MM slash DD slash YYYY Reason for purchase* JSU Latte n' Learn Shabbaton Office Supplies Travel Fundraising Other If "other" please describe:What type of expenses? (select all that apply)* Food Site Rental Entertainment Decorations Giveaways/Prizes Materials & Activities Printing Travel Other/Unsure If other/unsure, please describe:Total Reimbursement Amount*Receipt/s* Drop files here or Select files Max. file size: 512 MB, Max. files: 10.