Reimbursement Form United Way of the River Cities - Reimbursement Form You must complete and submit this form with any supporting documents by the 9th of each month. Agency/Organization * First and Last Name * Date * Expense Category * Amount * $ Expense Category Amount $ Expense Category Amount $ Expense Category Amount $ Expense Category Amount $ Total * $ Use the form upload areas below to upload your proof of expenditures. If you have issues uploading your proof of expenditures, contact Steve Cline at Steve.Cline@unitedwayrivercities.org. All file formats accepted, including photos. File Upload * Drop a file here or click to upload Choose File Maximum file size: 516MB File Upload Drop a file here or click to upload Choose File Maximum file size: 516MB File Upload Drop a file here or click to upload Choose File Maximum file size: 516MB File Upload Drop a file here or click to upload Choose File Maximum file size: 516MB Signature signature keyboard Clear Submit If you are human, leave this field blank.
