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Dean's Office Reimbursement Request

This form is for departments to request a budget transfer to reimburse them for activities pre-approved by the Dean's Office, such as travel, physical plant work, purchase of items, etc. Questions about the use of this form should be directed to Assistant Dean Tom Bazzoli.

Name:  

Phone:  

Email:  

Department:

Amount Requested:   

Account Information

Fund:
Organization:
Program:

Description of Request:

Original Spending Document - type and reference information (travel voucher, DPO, Credit card, etc):

  

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