"Expense Form"

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Office of Student Affairs
Department of Student Activities
Expense Form
Item Number
Category /Full
Quantity
Estimated
Justification
Description of
Unit Price
the requested
item
Total Estimated Budget for the Event: _______________________________
Indicate how to cover the estimated budget: a. Club Account b. Sponsorship c. Other
NOTE 1: Expenditures must be approved by the Office of Student Affairs prior to purchasing any
item.
NOTE 2: For any sponsorship, attach a sample of the contract before signing it and secure prior
approval from our office.
NOTE 3: No reimbursement will be made for expenses that are not indicated in the above table.
Date of Submission: _____________
Name of Student Organization: __________________
Name of Member:__________________
Phone Number:_____________________
Office of Student Affairs
Department of Student Activities
Expense Form
Item Number
Category /Full
Quantity
Estimated
Justification
Description of
Unit Price
the requested
item
Total Estimated Budget for the Event: _______________________________
Indicate how to cover the estimated budget: a. Club Account b. Sponsorship c. Other
NOTE 1: Expenditures must be approved by the Office of Student Affairs prior to purchasing any
item.
NOTE 2: For any sponsorship, attach a sample of the contract before signing it and secure prior
approval from our office.
NOTE 3: No reimbursement will be made for expenses that are not indicated in the above table.
Date of Submission: _____________
Name of Student Organization: __________________
Name of Member:__________________
Phone Number:_____________________