The University of Memphis
Request for Meal Reimbursement
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The University Of Memphis Policy UM1311 Purchase of Meals
provides additional information for completing this form.

Meal Reimbursement Request for:
Guest Meals   Employee Meals   Non-employee Group

Breakfast   Lunch
  Dinner   Other (specify):


University Personnel:

Event, Date, Purpose and Comments:

Make Payment or Reimbursement to:

Banner UID:     Total Number of People in Group:

Department Name:
Index Number/Acct Code:
  Amount of Request $

This expenditure is approved for payment in accordance with University Operating Policy UM1311 Purchase of Meals.

The following signatures are required for all meal reimbursement requests:

Prepared By (Please Print): ___________________________________________________  Date:____________
Email/Ext: ________________________________________________________________ 
Claimant's Signature: _______________________________________________________ 
Department Head/Higher Authority Signature:  ___________________________________ 
Department Head/Higher Authority Name: 
The University of Memphis is an Equal Opportunity/Affirmative Action University.