REIMBURSEMENT REQUEST FORM

Eligible expenses may include:

• Coaching certification fees (CEP, modules)
• Background screening costs
• Other pre-approved expenses

👉 All expenses must be pre-approved unless otherwise noted

Please have the following ready:

• ✔ Receipt(s) (PDF or image)
• ✔ Date of purchase
• ✔ Amount requested
• ✔ Description of expense
• ✔ Name of approver (if applicable)

👉 Incomplete submissions may delay processing

1. Click the Reimbursement Form link below
2. Complete all required fields
3. Upload your receipt(s)
4. Submit the form

👉 You will receive a confirmation after submission

To upload receipts directly through the reimbursement form, you must be signed into a Google (Gmail) account.

🔹 If You Have a Gmail Account

• Complete the form and upload your receipt(s) when prompted
• This is the fastest and preferred method

🔹 If You Do NOT Have a Gmail Account

You can still complete the reimbursement process by following these steps:

1. Complete the reimbursement form (a Gmail account is not required to fill out the form)
2. Email your receipt(s) separately to:

👉 Jason Heron

📧 jason.michael.heron@gmail.com

SUBJECT LINE: CYHA REIMBURSEMENT REQUEST

1. Request is submitted
2. Reviewed by CYHA Treasurer
3. Approved requests are processed for payment
4. Payment issued via:

• Check

👉 Please allow 2-3 weeks for processing after approval

If you have questions about a reimbursement request, status updates, or required documentation, please reach out to the appropriate contact below.