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Hebron Cross Country and Track & Field Expense Reimbursement Form

Please review the following guidelines carefully before submitting your reimbursement request using this form:

Sales Tax - we do not reimburse for sales tax, please reach out to a board member if you need our sales exempt form.
Receipts - Please ensure all receipts are provided and show items and price.
Deadlines - Requests must be submitted within 60 days of purchase.
Financial Standing - We may withhold reimbursement if your account is not in good financial standing with the booster club.
Team Dinner Limit - The maximum reimbursement for each team dinner is $200, for full team or $100 when teams are split.
Budget Verification - Please verify with the appropriate board member that your expenses are within the approved budget prior to submission.

If you have any questions, please reach out to Tara Jiranek at treasurer@hawkrunning.org.

Thank you!

Email Address

Your Full Name

Are we issuing payment to someone other than you?

A
B

Payee Name

Payee Mailing Address (Street, City, State, & Zip)

Phone Number

Total Amount (Do not include Sales Tax)

Category

Details & Description (What was purchased, why, and for which event)

Receipts (Upload all receipts to support reimbursement)

Additional Notes or Special Instructions