Reimbursement Request Form

  • Please complete the requester information section.

    Add amounts to the coded categories as needed. The total will be calculated automatically.

    Incomplete or incorrectly completed requests will be declined without payment.

    All receipts must be uploaded with this form.

  • Requestor Information

  • Coded Categories

    Please enter full dollar amounts, e.g. 21.02
  • Uniforms - Players/Coaches/Officials

  • Uniforms: Players - Fall Season, All-Stars, Grad Series
  • Uniforms: Coaches - shirts, jackets, etc.
  • Uniforms: Referees
  • Uniforms: Other - board clothing, etc.
  • Playoff Expenses
  • Field Expenses

  • Field Expenses - painting/nets/labor
  • Facility / Park Fees / Improvements
  • Equipment Purchases - balls/nets/storage
  • Clinic Expenses

  • Clinic Training Expenses: Player
  • Clinic Training Expenses: Coaches
  • Clinic Training Expenses: Referees
  • Clinic Training Expenses: Other / Referee & Coach Dinner
  • Meetings

  • Board & Administration, Volunteers, Staff Meeting
  • Registration Expenses

  • Payments to AYSO: Registration Fees
  • Payments to AYSO: Inter-Regional / Area 1C fees
  • Office Expenses

  • Copying, printing, flyers, schedules
  • Office Supplies / Paper
  • Miscellaneous Supplies
  • Phone / Internet / Website
  • Postage
  • Other Expenses - clubhouse/security/maintenance/rent
  • Training Books and Supply Expenses

  • Payments to AYSO: NSTC
  • Payments to AYSO: Supply Center
  • Fundraising - Recognition - Donations Expenses

  • Fundraising Expenses: Concessions
  • Fundraising: Camps / Picture Day / Opening Ceremonies
  • Awards / Volunteer Recognition / All-Star Clothing
  • Donations / Sponsorships / Circle of Champions
  • Cultural Exchange - Villa Park, Galaxy, Chivas
  • Section - NAGM Expenses - RC Training

  • Section / NAGM / RC Training
  • Tournament Expenses

  • Tournament Banners & Signs
  • Tournament Games: Insurance
  • Tournament: Incentives, Trophies, Awards
  • Tournament: Coaches
  • Tournament: Referees - misc & referee fee refunds
  • Tournament: Other - field prep, custodial, security, etc.
  • Tournament: Water/Food
  • Tournament: Concession Expenses
  • Tournament: Planning Meetings
  • Tournament: Entry Fees
  • National Games Expenses

  • National Games - Business Expenses
  • National Games: Entry Fees
  • Fixed Assets

  • Fixed Assets - goals, lights trailers, equipment trailer
  • Receipts

  • Drop files here or
    Receipts must be submitted for all reimbursement requests. You may scan or photograph your receipt. Receipts must be formatted as jpg, gif, png or pdf.
  • Total Reimbursement

  • $0.00
  • This field is for validation purposes and should be left unchanged.