Reimbursement Request

Name
First Last
Total Amount of Receipt including Taxes:*
Receipt Number:
Document upload:
By clicking submit below, you acknowledge that this expense is being submitted for Uniform Alterations for yourself, in the amount submitted which you personally paid for; and that you have received no other refund or rebate for this item. Reimbursement will be made in accordance with Operating Policy to the amount eligible in the policy provided there is sufficient room in your uniform allowance account.

Uniform Alteration