Financial Request Form

Use this form to request funds, purchase orders, credit cards or vendor payments. Enter your information in the form provide, or download the form and submit it in person, or by email.

If you are requesting reimbursement, please note that you will need to deliver the receipts in person, mail them, or email them directly to Tami Dobbs at

Request Type *
Indicate at least one type of financial request.
Payee *
Optional: If you would like your reimbursement mailed to you please indicate a mailing address.
Please indicate the amount of the request.
Date Required *
Date Required
When do you need the request to be fulfilled?
If you have any special requests, please indicate that here.