Sheet 1: Business Expense Form

	
	
	
	
	
	
	
	
	
	
	
	

		


		
RANDOLPH COLLEGE
		


		


		


		


		


		


		


		


		


		


	
	

		


		
Reimbursement Request for:
		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
Business Expenses
		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
Date Submitted
		


		


		


		


		


		


		


		


		


		


	
	

		


		


		
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PAYEE INFORMATION:
		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
MAKE PAYABLE TO:
		


		


		
POSITION
		


		


		

		jtyree:
Include city, state, zip for check delivery, if applicable
		ADDRESS:
		


		
	

		


		
DEPARTMENT
		


		


		
APPROVER
		


		


		


		


		
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
Date
		
Description
		
Budget Code
		
Total
		
Receipts
Y/N
	
	

		


		


		


		


		


		


	
	

		


		


		


		


		


		


	
	

		


		


		


		


		


		


	
	

		


		


		


		


		


		


	
	

		


		


		


		


		


		


	
	

		


		


		


		


		


		


	
	

		


		


		


		


		


		


	
	

		


		


		


		


		


		


	
	

		


		


		


		


		


		


	
	

		


		


		


		


		


		


	
	

		


		


		


		


		


		


	
	

		


		


		


		


		


		


	
	

		


		


		


		


		


		


	
	

		


		


		


		


		


		


	
	

		


		


		


		


		


		


	
	

		


		


		


		


		


		


	
	

		


		


		


		


		


		


	
	

		


		


		


		


		


		


	
	

		


		


		


		


		


		


	
	

		


		


		


		


		


		


	
	

		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
PREPARED BY (sign and print):
		


		


		
DATE:
		


		


		


		


		


		
Subtotal
		
 $-   
		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
APPROVED BY (sign and print):
		


		


		
DATE:
		


		


		


		


		


		
Advances
		


		


	
	

		


		


		


		


		


		


		


		


		


		


		
Amount Due to You
		
 $-   
		


	
	

		


		
Is a Federal or State Grant Budget Code Charged in This Request? 
		
Choose Y/N from drop down box below.
		


		


		


		


		


		


		
Amount Due to College
		
 $-   
		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		
Currency Conversion
		
RATE
		
DATE
	
	

		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
Pick Up/Delivery Instructions:
		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		
Will Pick Up Check
		


		


		


		


		


		


		


		


		


		


	
	

		


		


		
Mail Check to Requestor by US Mail (complete address info above)
		


		


		


		


		


		


		


		


		


		


	
	

		


		


		
Campus Mail
		


		


		


		


		


		


		


		


		


		


	
	

		


		


		
Electronic Funds Transfer (EFT) to Bank Account (must complete authorization form)
		


		


		


		


		


		


		


		


		


		


	
	

		


		


		
Petty Cash (amount must be less than $100)