Free Product Expense Form

Please fill out this form completely to report expenses related to product purchases or procurement.
Name
Department/Team Name
Date Submitted
Purpose of Expense
Inventory
Research
Client Use
Expense Details
Date | Product Description | Supplier/Vendor | Quantity | Amount |
|---|---|---|---|---|
| | | | |
| | | | |
| | | | |
Total Amount:
Preferred Payment Method for Reimbursement
Direct Deposit
Check
Are receipts and invoices attached?
By signing below, I confirm that the details provided above are accurate and true to the best of my knowledge.
Name:
Date:
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