Printing Funds Reimbursement Request
Request Type
*
Student request for reimbursement for failed print jobs
Student Request for reimbursement for student organization printing
Faculty Request for Supplmental Funds for Student Academic Printing
FacStaff Request to Reimburse Students for Departmental Printing.
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Student Information
Student Name
*
First Name
Last Name
Student ID Number
*
Student Email Address
*
example@example.com
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How many pages are you requesting reimbursement for?
Printing Type
Black on white
Color
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Reimburesment for Failed Print Jobs
Nature of the failure
Submitted but did not print
Poor quality print
Name of print queue related to failure
*
Date / Time of the Failed Print Job
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
If available, please attach evidence of the failed print job.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Comments Regarding Failed Prints
None
Add Comments
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Reimbursement for Student Organization Printing
Organization
Advisor
Club Treasurer or President
Comment regarding printing on behalf of student organizations.
None
Add Comments
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FacStaff Request for
Additional Printing Funds for a Student
Dollar Amout Requested
Faculty or Staff Name
First Name
Last Name
Fac or Staff Email Address
example@example.com
Class Name or Number
Name of print queue related to request
*
Date / Time related to request
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Department Name
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Submit
Account Number from Campus Life
Should be Empty: