Fill and Sign the Simple Loan Agreement Template Simple Loan Agreement Template Form

Reimbursement/Reclass Request: Instructions Use a Request for Reimbursement when personal funds are used for ASSP approved travel, entertainment and hospitality, or materials purchases. This form is completed to request reimbursement of funds from the appropriate budget. This form is also used in the case that an expense advance was issued to an individual to purchase goods on ASSP’s behalf. In this case, any funds that weren’t spent are turned into the ASSP office, as well as all receipts, and the Reclass form. The form gives detailed purchase information and reports which funds/orgs/accounts the expense is charged to. Instructions for Completing the Form (please refer to the below example): 1. Name of the student seeking reimbursement. 2. Claimant’s Student ID #. 3. Claimant’s phone #. 4. Date of event/expenditure. 5. Detailed description of the purpose of the expense. Include relevant event name, location(s) and attendee names (if more than 10, just put a number). 6. Brief description of purchases. One line per receipt. 7. Corresponding amount of each receipt. 8. Categorize as either a reimbursement or reclass. 9. Current date 10. Amount of expenses to be charged against each fund/org/account combination. If expenses are to be divided among multiple funds or accounts, list each on a separate line. 11. Enter the appropriate fund number of the ASSP budget that the expense will be charged to. The fund number is a 6 digit code beginning with 1162-- which represents which ASSP organization is being charged. 12. Enter the appropriate 5 digit account code which best describes the type of expense. If expenses are to be divided among multiple account codes, list on separate lines, regardless of if the fund numbers are the same or different. Examples of common account codes are found at http://www.spu.edu/depts/assp/docs/finance/CommonAccountCodeList.pdf. 13. Enter amount of expense advance from the University. Enter (0) zero if no advance was received. 14. Enter amount owed to SPU after expenses have been subtracted from advance. Enter (0) zero if not applicable. 15. Signature of student seeking reimbursement. 16. Signature of manager responsible for ASSP budget (ex. Media Business Manager, Ministry Coordinator, or Club Treasurer). 17. Submit to ASSP Office for approval signature and processing. Always attach original receipts and/or statements. Allow for a full week of processing time. REIMBURSEMENT/RECLASS REQUEST TRAVEL, BUSINESS, AND RELATED EXPENSES ASSP–REVISED 02/11 Claimant Name (Last, First): 1 Claimant Student ID #: Smith, Joe 2 900012345 Phone #: 3 6 Domino's - Pizza 206-281-2555 7 $ 89.20 Staples - Reams of paper, pens Date of Event(s): 4 October 6th, 20xx $ 18.74 Detailed Notes (Include name of event(s), purpose, location(s), and attendee names [if more than 10, just put a number]): 5 At the beginning of the year, the Falcon holds an info meeting in Hill Hall open to all campus to recruit new writers, photographers, etc, and to connect with students on campus and inform them of the Falcon. Approximately 30 attendees. Provided 7 pizzas A pack of pens and 2 reams of paper were purchased for the purpose of mail-outs, insertion, budgeting, etc. **If reimbursement is for complimentary gifts/award, list names of individuals who will receive the complimentary gifts/award. VENDOR NO. REIMBURSEMENT/RECLASS 8 Reimbursement Reimbursement VOUCHER NO. DATE T OTAL : AMOUNT PAID FUND 9 10/9 10$ 89.20 11116216 10/9 $ 18.74 116216 ORG 2813 ACCOUNT AMOUNT DB(-CR) Important Instructions1. List business purpose related to each expense 12 74503 10 $ 89.20 2813 71201 2813 CLAIMANT 2813 T OTAL : 15 16 $ 107.94 BUDGET MANAGER $ 107.94 SPU Finance | ASSP Finance Cash Summary Less Advance- 13 2. Attach all necessary $ 18.74 receipts and/or statements 3. Allow a full week of processing time 2813 $ 107.94 Balance Due- 14 If Balance Due amount is negative, the amount is due to SPU, otherwise it is due to you. DATE ASSP FINANCE DATE PAYMENT APPROVAL 17 CHECK # DATE