Your Name (required)
Your Email (required)
Description of Expense
Expense Date YYYY-MM-DD
Preferred Method of Reimbursement
CheckDeposit (Belgian Banks only)
Attach Receipt Here
(required) By checking this box and submitting this form you agree that this is a legitimate expense for IBC Jurbise that it has been coordinated with the proper ministry team leader and that you have attached your receipt(s) or will provide receipts to the treasurer at your earliest opportunity.