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.
Submission of this form serves as confirmation that pertinent approvals are on file in department.
- 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.
- Shared Services confirms readability of receipts and processes the reimbursement via Ariba.
- Shared Services adds Ariba ER number in RT ticket's "Reference" field and resolves ticket. All further monitoring occurs through Ariba.