Corporate Credit Card Personal Expense Reimbursement Form

Description

American University Corporate Credit Card Personal Expense Reimbursement Form This form is used to document personal expenses incurred on one of the University’s Corporate Credit Cards (Procurement Card or Travel Card). Cardholder Information Name: Phone: Email: List of Personal Expenses Business Document Number Last 4 digits of card: Department: Transaction Date Transaction Amount Total Reimbursement Amount: Please submit completed form along with check payable to American University to: Controller’s Office Spring Valley Building 4801 Massachusetts Avenue, NW 3rd Floor Washington, DC 20016 Cardholder Signature: _________________________ Date: __________________