The Expense Reimbursement Form must be filled out by anyone requesting a reimbursement for purchases made on behalf of the HSA or for any fundraiser or event that recently took place. All receipts for purchases must accompany the form when submitted. If the reimbursement is for an event that you and/or your committee managed, it must be submitted with the signed Budget Request Form you submitted before the event. Please submit you Expense Reimbursement Form to the HSA Treasurer for processing. If you have any questions, please contact the HSA Treasurer.