Expense Reimbursement

This form is for districts/sections who are using the State Office to administer financial functions (issuing checks to cover expenses, and depositing fees).

  • Person completing this form.
  • Type carefully, please
  • Select region
  • Please limit each reimbursement request/form to one type (complete form again for a different activity).
  • Summarize the purpose for each receipt (but NOT each line item on the receipt). Add a row for each receipt.
    DescriptionTotal Amount 
  • To whom we make the reimbursement check payable (name of person or school/organization).
  • Please upload receipts (otherwise, fax or mail to WHSFA office).
    Drop files here or
    Accepted file types: pdf, jpg, gif, png, doc, docx.