Reimbursement forms are documents which are used by organizations to obtain information and details about the items to be reimbursed to an individual. With a reimbursement form, the financial authority of an organization will be able to determine whether or not the reimbursement claims are valid and contain accurate data. Moreover, specific reimbursement forms also aid the claimant towards knowing what procedures and requirements he must submit in order to verify and prove his claims.

Claims Reimbursement Form

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  • PDF

Size: 101 KB

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Employee Reimbursement Form

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  • PDF

Size: 188 KB

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Member Reimbursement Form

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Size: 94 KB

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Varieties of Reimbursement Forms

Book Reimbursement Form – Educational institutions and organizations who have programs intended for tutored students to receive books are the users of this form variety. Specifically, a book reimbursement form will have to be filled out by the worker and the tutor who have purchased the books for the students. In the form, the names of the students who will be receiving the books must be enlisted along with their identification numbers, the title of the books, and the price of each book.

Book Reimbursement Form

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  • DOC

Size: 3 KB

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Church Expense Reimbursement Form – Church officials, members, or leaders who have incurred an expense on behalf of the church must fill out a church expense reimbursement form. The form will specify where the expenses were targeted to either for the church building, ministry, congregational care, discipleship, or in the missions of the church. And in order to complete the form, the claimant should affix his signature on the allotted area below the reimbursement declaration statement which indicates his request to credit the reimbursed amount to his own account.

Church Expense Reimbursement Form

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  • PDF

Size: 66 KB

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Coach Reimbursement Form – The user of this form variety is a coach who has traveled for an event or competition to represent the organization or institution where he is employed in. There are four sections in this form which should be completed by the coach. The first section of a coach reimbursement form is allotted for indicating the name of the coach, the team whom he was coaching, the name of the team coordinator, and the amount requested to be reimbursed.

Coach Reimbursement Form

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Size: 118 KB

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In the second section of the form, the date when the reimbursement request was made, the travel dates of the coach and his team, and the list of team members and coordinators included in the reimbursement will be stated. On the other hand, the third section is composed of a table which details the reimbursement including the subtotal of expenses for the hotel payments and fees, mileage and fuel, and the food consumed during the travel and event. And lastly, the fourth section is intended for the comments and notes of the coach which are addressed to the organization who will be processing the reimbursements.

Education Reimbursement Form – Employees who have tuition benefits as part of their workers’ compensation package must use this form to inform the school where they are enrolled in about their reimbursement request. In the form, the employee will need to disclose his course number and his name, the start and completion dates of the course, the course grade, and the name of the provider, type, date, and amount of the expense.

Education Reimbursement Form

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Size: 219 KB

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Faculty Home Internet Reimbursement Form – Faculty members who use their own internet connection at home in order to meet the needs of the educational institution should report their internet usage using a faculty home internet reimbursement form. Two sections comprise this form wherein the first section is a table which documents the internet service coverage of the faculty member per month or year, the rate to be paid to continue with the subscription coverage, the GST and PST amounts, the percentage of business use, and the total amount to be claimed for reimbursement. Moreover, the second section states an attestation to be signed by the faculty member who is the claimant of the reimbursement, and the authorized account holder of the faculty.

Faculty Home Internet Reimbursement Form

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  • PDF

Size: 306 KB

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Gym Reimbursement Form – There are health and life insurance companies who reimburse their policyholders who have paid for gym and fitness memberships. To avail the reimbursement, the policyholder must fill out and submit a gym reimbursement form which will indicate his membership information, gym information along with his gym participation log for proving that he joined the classes and sessions with an instructor.

Gym Reimbursement Form

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  • PDF

Size: 139 KB

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Medical Reimbursement Form – This form variety is intended to be used by employees who have paid for the fees of the medical services and treatments that he took for his medical condition. The employee will only be required to fill out the first part of the form which collects his social security number, personal information, and contact information. The second and third parts of the form are to be completed by the employer and the reimbursement provider of the company.

Medical Reimbursement Form

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  • PDF

Size: 144 KB

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Parking Reimbursement Form – If an individual had been sent to a conference where he will be using his own car for traveling, then he must complete a parking reimbursement form upon his return in his company to report the expenses and fees that he paid in lieu of reserving and using a parking space. In the form, the employee will need to state his identification and the details of his parking expenses, as well as affix his signature to certify that his claims were true and accurate.

Parking Reimbursement Form

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  • PDF

Size: 208 KB

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Student Reimbursement Form – Students who have spent their own money to pay for fees from goods and services intended to benefit a school’s student organization or the school itself must submit a completed student reimbursement form with enclosed receipts and documentation. The form will gather the name of the student and his basic information as the payee, the payment details, the nontravel and other expenses incurred, as well as details of the receipts which are enclosed as supplemental documents to prove the claims.

Student Reimbursement Form

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  • PDF

Size: 2 MB

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Out-of-network Reimbursement Form

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  • PDF

Size: 73 KB

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Prescription Reimbursement Form

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  • PDF

Size: 143 KB

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Shipment Reimbursement Form

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  • PDF

Size: 532 KB

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Travel Reimbursement Form

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  • PDF

Size: 2 MB

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With the right variety of reimbursement form, a company, institution, or an organization will be able to collect relevant data and useful information about the claimant and his claims. Nevertheless, a reimbursement claim must not be approved immediately rather with a verification and validation process wherein the claimant will need to submit receipt forms and invoice documents to prove his expenses.

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