Disbursement Request

The form below is for use by Batavia Music Buffs Board Members, Chairpersons, Committee Members and Volunteers for PRE-APPROVED expenses. Written board member approval authorization is required in addition to copies of receipts and/or invoice at the time the request is made.

IMPORTANT INFORMATION:

All information requested must be provided in order for your request to be processed. Disbursements take 7-10 days, please plan accordingly. You must provide (1) receipts/invoices for expenses to be reimbursed/paid and (2) email confirmation from the appropriate board member approving the expense.

Requestor's Full Name *

Requestor's Phone No.: *

Requestor's Email *

Make Check Payable To: *

Address Check Is To Be Sent: *

Amount To Be Disbursed: *

Amount MUST match receipts provided.

Reimbursement or Expenditure

Reimbursement

Expenditure

If you are providing a receipt, it is a reimbursement. If you are providing a PO or invoice, it is an expenditure.

Category *

Description of Expense *

Provide the SPECIFIC ensemble AND event the expenditure is related to. (IE: Marching Band - Uniforms)

Upload Receipt/Invoice *