TLYCC Expense Reimbursement

To request reimbursement for expenses from TLYCC, you may either print this TLYCC Reimbursement Form and mail it in with your receipts OR use the online form below.

TLYCC Reimbursement Request Form

Please use this form to submit requests for reimbursement from TLYCC

Please be sure to attach copies of all receipts.

* indicates required field

Please provide the Name and Address of the person or company that the payment should be made to.

Please provide the total amount requested and attach ALL receipts. Requests without supporting documentation will not be paid.

Acceptable file types: doc,pdf,txt,gif,jpg,jpeg,png.
Maximum file size: 1mb.

Please identify the type of expense(s) being submitted.

Powered by Fast Secure Contact Form