Zephyr Institute Reimbursements
Use this form to request for reimbursement. Please make sure receipts are sent to Daniela at dasuncion@zephyr.org.

If you have multiple receipts, please use 1 line in expense/description to list each receipt.

Format: Date of Expense - Item - Amount.

Example:
Expense #1: May 1, 2021 - Uber/Lyft from Zephyr Office to venue - $11.11.
Expense #2: May 3, 2021 - Lunch at Zestaurant - $15.15


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Name *
Event Name *
Expense/s Description *
If you have multiple receipts, please use 1 line to list each receipt. Format: Date of Expense - Item - Amount. Example: Expense #1: May 1, 2021 - Uber/Lift from Zephyr Office to venue - $11.11.Expense #2: May 3, 2021 - Lunch at Zestaurant - $15.15
Total of all expenses (in US Dollars) *
Mode of reimbursement *
Options: (1) Check - provide the name you want in the check and address for delivery, and a phone number in case there's an issue with delivery. (2) PayPal - provide email / number.
(For internal use only) Expense Category
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