Reimbursement Request Form

Authorized individuals will use this form to request reimbursement of expenses paid on behalf of the Division or Board of Publication. Division Officers, GSSPCs, IAC, and other committees will use this form to request reimbursement for expenses such as advertising posters, purchases of supplies or software, or other items. It is expected that these requests will be forwarded promptly, and not more than 21 days after the purchase.

All payments to US addresses will be sent by check from Chase Bank. Please be aware of the check as it may look like advertising mail.

Allow 2 weeks for reimbursements to be processed.

Please email any questions to finance@divched.org.

Full Name
Payment Address
Select your organization:
Reason(s) for the expense:
Unlimited number of files can be uploaded to this field.
256 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
All payments to US addresses will be sent by check from Chase Bank. Please be aware of the check as it may look like advertising mail.
Foreign payments will be made by a person-to-person payment system to your email address. Please verify the email address to send the payment to below: