1. Complete the online form below by simply completing your personal information with your complete address, a numerical list (1. abc $1.00  2. cde $2.00 3. efg $4.00) of your expenses being submitted, and the total $ amount requested.

2. You must check the certification box on the form in order to proceed with submission.

3. Click Submit.

4. Email Michael Semanchik at [email protected] and attach copies in PDF format of your receipts reflecting expense and payment and date of purchase.

If you do not have a receipt reflecting a zero balance payment transaction, please attach a copy of one of the following with the receipt:

–front and back sides of your endorsed check, showing the bank endorsement stamp on the backside. We will not accept any other type of copy of your check. You may have to obtain this from your bank.

-a copy of your credit card statement reflecting the purchase/payment $ amount, and the payee’s name.

5. Once you have completed steps 1-4, please allow 45 days for reimbursement. A check will be mailed to the address you provide.