FLEX / YES – School Fees & Book Expense Form

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Flex Yes - School Fees & Book Expense Request

Approved School Fees & Book expenses include school registration fees, class/lab fees, books required for a class, transportation to and from school such as monthly/weekly bus cards or other bus fees, and ASB/Activity Cards. - Fees for individual sports and/or activities should be covered using the Incidentals Allowance - If you have a question regarding school fees, please ask your Local Coordinator or the Chicago office BEFORE spending any money.

Date(Required)

Please choose Grant program(Required)

Student Name(Required)

Student GEO ID(Required)

Prepared By(Required)

Address(Required)

City State / Province / Region ZIP / Postal Code

Email(Required)

Local Coordinator(Required)

Host Family Name(Required)

Instructions 1. Complete form and include ORIGINAL RECEIPTS, keeping a copy for your own records. 2. Please attach scanned or digital receipt. Please submit within 30 days of purchase 3. Allow 10-15 business days for reimbursement processing

Attached Receipts below

Attach Receipt 1(Required)

Max. file size: 5 MB.

Receipt 1 - Date & Description (textbooks, registrations fees, etc)(Required)

Receipt 1 - Who is Reimbursement for (full name and mailing address)(Required)

Receipt 1 - Amount Due(Required)

Attach Receipt 2

Max. file size: 5 MB.

Receipt 2 - Date & Description (textbooks, registrations fees, etc)

Receipt 2 - Who is Reimbursement for (full name and mailing address)

Receipt 2 - Amount Due

Attach Receipt 3

Max. file size: 5 MB.

Receipt 3 - Date & Description (textbooks, registrations fees, etc)

Receipt 3 - Who is Reimbursement for (full name and mailing address)

Receipt 3 - Amount Due

Attach Receipt 4

Max. file size: 5 MB.

Receipt 4 - Date & Description (textbooks, registrations fees, etc)

Receipt 4 - Who is Reimbursement for (full name and mailing address)

Receipt 4 - Amount Due

Attach Receipt 5

Max. file size: 5 MB.

Receipt 5 - Date & Description (textbooks, registrations fees, etc)

Receipt 5 - Who is Reimbursement for (full name and mailing address)

Receipt 5 - Amount Due

Total Amount Due