HHR Reimbursement Request

Please complete all fields below, including an upload of a high resolution copy of your receipt or invoice. Contact finance@heartsandhomesforrefugees.org for any questions.

New Vendors must fill out a W-9 form BEFORE they will be paid. - HHR Volunteers submitting expense reimbursements do NOT need to fill out a W-9
HHR will not reimburse any incurred sales tax, please use tax exempt form
For purchases over $100, please attach proof of advance purchase approval by committee chair
For purchases over $250, please attach proof of advance purchase approval by HHR Treasurer
For purchases over $500, please attach proof of advance purchase approval by Finance Director
For UNBUDGETED purchases of any amount, please attach proof of advance purchase approval by Board of Directors

Name

First Name

Last Name

Phone

(###)

###

####

Cohort / Program

Type of Expense

Reason for Expense

Date Incurred

YYYY

Vendor/Description

Amount

Method of Payment

Certification

I certify that all expenses listed above were incurred for the sole benefit of the Hearts and Homes for Refugees and in accordance with all HHR financial policies.

HHR Reimbursement Request

Hearts & Homes for Refugees