Building partnerships through collaboration.
Non-Employee Personal Reimbursement Request
The Non-Employee Personal Reimbursement Request form is a document to pay and reimburse non-employees for various non-travel expenses for all three funding sources — State, Research Foundation (RF) and UB Foundation (UBF).
Non-employees include:
- Guests
- Faculty and staff job candidates
- Unpaid students
Download the Form
This form CANNOT be used for:
• supplier payments
• travel expenses
• mileage expenses
• honoraria
• RF moving expenses
• independent contractor payments
• non-resident alien scholarships
• award payments
• student tuition
• student scholarships
Completing the PDF Form
- Consult the appropriate department's web pages for specific instructions, which could differ according to funding source
- Enter requested information into the form
- Print the form
- Get required signatures
- Scan a copy of the signed form for your records
- Send the original, completed, signed form to:
Note: For reimbursements related to COVID-19 concerns, write "COVID-19 Cancellation" in the comment field.
Funded by the State
Karen Buchheit
Travel, Financial Management
224 Crofts Hall
North Campus
Funded by Research Foundation Non-Sponsored Programs
Benjamin Stich
Accounting and Financial Reporting, Financial Management
418 Crofts Hall
North Campus
Funded by UB Foundation (UBF)
UB Foundation, Inc
Center for Tomorrow
North Campus
Funded by Research Foundation Sponsored Programs
Sponsored Project Services
The Commons
520 Lee Entrance Suite 211
North Campus
Need Help Completing the Form?
Funded by the State
State-funded RAP reimbursements; honoraria; Critic Teachers
Funded by Research Foundation Non-Sponsored Programs
Benjamin Stich
Non Sponsored RF Accounting and Financial Reporting
Phone: 716-645-7665
Funded by Research Foundation Sponsored Programs
Funded by UB Foundation (UBF)
Form Facts
Form Type: Downloadable, PDF document
Requirements: Adobe Reader
Updated: January 2020
Owner: Financial Management