Reimbursement Form

Please use this form to document expenses and request reimbursement during the 2025-2026 fiscal year. Provide copies of receipts for any items for which you are requesting reimbursement. If the receipt includes some items for which you are not requesting reimbursement from CLA, please indicate which items for which you are seeking reimbursement. To ensure that reimbursements are processed in a timely manner, please submit the form and receipts within 7-10 business days of travel or when the expense is incurred.

If you have additional questions, please contact the CLA Treasurers, Drs. Constance Bailey and Donavan Ramon at treasurer@clascholars.org and assisttreasurer@clascholars.org.

Name *

Date *

Email *

Date expense incurred? *

Total reimbursement you're requesting. *

Which items are you requesting reimbursement for? *

Please upload a copy of your receipts here. *

If you would like to be reimbursed via Zelle, please provide the phone number or email address connected to your bank account. If you prefer a paper check, please provide a current mailing address. *

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