Log in and this form will be prefilled with your profile data (like email address and default department).

Please see Procedure Overview at the bottom of this form for instructions and next steps.

Scan and attach receipts using attachments function at end of the form.

Required fields are shaded yellow and marked with a red asterisk.

Triage Information
Please call to confirm. Shared Services will expedite processing according to University best practices.
Shared Services will contact Linda Nelson for approval of chair/director reimbursement.
Department and Budget Information
Please use your @uw.edu address. A confirmation will be sent.
(Format: xxx-xxx-xxxxxx)
Payment Information
Indicate specific object and sub-object codes. If none are noted, CASSS will determine the most appropriate codes. (Travel codes are added automatically.)
Food Expenses
.

Please see Financial Management's food approval site for detailed policies

Reimbursement Amount
$
Files must be less than 2 MB.
Allowed file types: txt rtf pdf doc docx xls xlsx.
Additonal Attachments
Files must be less than 2 MB.
Allowed file types: txt rtf pdf doc docx xls xlsx.
Files must be less than 2 MB.
Allowed file types: txt rtf pdf doc docx xls xlsx.

Submission of this form serves as confirmation that pertinent approvals are on file in department. 

 Procedure Overview

  1. Intake form is completed by unit administrative staff.  Submitter receives confirmation email, including FMRT ("RT") ticket number.  All further correspondence regarding the request occurs through RT.
  2. Shared Services confirms readability of receipts and processes the reimbursement via Ariba. 
  3. Shared Services adds Ariba XR number in RT ticket's "Reference" field and resolves ticket.  All further monitoring occurs through Ariba. 
Relevant Services: