Reimbursement Form definition
Examples of Reimbursement Form in a sentence
Incorrectly reimbursed funds or credits received for expenses reimbursed will be returned immediately upon discovery as a direct payment, not credit, to the “State of Indiana.” Each return of funds will be accompanied with a completed FSSA Contract Claim Reimbursement Form identifying specific Components to be credited (negative) and each associated month reported on the original reimbursement request.
Contractor shall, at Owner’s request, execute such forms as may be necessary for the Owner to comply with requirements of any state or government agency, such as Department of Education Form 0263, the Request for Reimbursement Form.
The Vendor will then invoice Citizens, including a copy of the Vendor Travel Expense Reimbursement Form and supporting receipts.
Personnel required to submit weekly or monthly time sheets to a Citizens Project or Contract Manager must fill out a Vendor Travel Expense Reimbursement Form and have it signed by the appropriate Citizens manager prior to submitting to their employer for reimbursement.
In order to be eligible for reimbursement under the Alternative Reimbursement Procedure, the Vendor must submit an invoice along with a Vendor Travel Expense Reimbursement Form with copies or originals of required forms and receipts to Citizens Accounts Payable Department at ▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ or by mail to ATTN: Accounts Payable, ▇▇ ▇▇▇ ▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇-▇▇▇▇.
Claims shall be submitted for reimbursement in accordance with payment specifications defined in this Contract utilizing the State-generated FSSA Contract Claim Reimbursement Form.
The State has the discretion, and reserves the right, to not pay any claims submitted later than sixty (60) calendar days after a specific Contract Claim Reimbursement Form Item Description expiration date or termination of this agreement.
Incorrectly reimbursed funds or credits received for expenses reimbursed will be returned immediately upon discovery as a direct payment, not credit, to the "State of Indiana." Each return of funds will be accompanied with a completed FSSA Contract Claim Reimbursement Form identifying specific Components to be credited (negative) and each associated month reported on the original reimbursement request.
Claims shall be submitted for reimbursement in accordance with the specified Component Descriptions and Unit Descriptions defined on the State-generated FSSA Contract Claim Reimbursement Form.
Reimbursements shall be submitted with the Reimbursement Form provided by the AZDOHS staff.