Online Check Request for instructors

Please complete the information below to request payment for your recent class. Please note that this form requires you to upload images/scanned copies of your class sign up sheet, as well as any expenses for which you would like to be reimbursed. You should have those files ready to attach prior to beginning this form.

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Online Check Request

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Instructor Information

Name *

Email *

Address *

Address

City

State

Zip

Class Attendees

Number of students who attended the class: *

Per student rate as per the Class Agreement: $ *

Total: Registration Dollars *

Upload Class Sign in Sheet *

Drop a file here or click to upload Choose File

Maximum upload size: 134.22MB

Mileage Expenses

Approved Mileage *

Total: Mileage Dollars *

Other Approved Expense Reimbursements

Expense Amount:

Expense Description

Upload Receipt

Drop a file here or click to upload Choose File

Maximum upload size: 134.22MB

Add another approved expense Remove previous approved expense

Total Check Amount

Total Payment *

Online Check Request for instructors

Instructor Information

Class Attendees

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Mileage Expenses

Other Approved Expense Reimbursements

Total Check Amount

Etsy Office Hours