Reimbursement Request Form (TEST- DO NOT USE!)

Reimbursement Request (Test)

Please complete this form to be reimbursed for UHC expenses. You will attach pictures of the receipts to this form. Thank you!

Is this a teacher or admin purchase?(Required)

Name(Required)
High School Only
Middle School Only
Elementary Only (Section)
For Special Programs
Greenville or Spartanburg Campus(Required)

Address(Required)
Drop files here or
Max. file size: 50 MB.