Reimbursement Request Form

Use this form if: a) you choose not to use a Penn-approved vendor, or b) you're paying for goods/services with cash, or c) you need to be reimbursed for a charge that has been previous incurred and that you didn't pay for with a Purchase Order. If possible, use a Purchase Order, since it's a much easier process. 


  • To be reimbursed for petty cash, first fill out the form below. Once your petty cash reimbursement request is approved, please bring all original receipts, including the itemized receipt and - where appropriate - the receipt indicating a tip, to Nancy O’Reilly on the 6th floor for processing. If you do not have an itemized receipt, email Nancy at

If you need to submit a Concur reimbursement and have not already been activated in Concur:

  • Please email Nancy O’Reilly,, the following information for you to be activated in the system:
    • Your full name (including middle name)
    • Your Penn ID number
    • Your current local address
  • Activation takes approximately 5 business days.  Once this time period passes, please contact Nancy O’Reilly for further assistance. 
  • Once you have been added to the system, Nancy will send you an email with the Concur website and a link to a website with Concur FAQs.  If you have additional questions, email her at to schedule an appointment on how to use Concur. 

After you have been activated in Concur and understand how to use it:

  1. Fill out the form below to request a reimbursement.
  2. Create and submit an expense report in Concur, filling in all the relevant information and attaching an itemized receipt and a list of people who attended the event, as well as a receipt of the total with tip, if applicable
  3. If there are any issues with the Concur request, Nancy O'Reilly will email you to work them out. 
  4. It will take 4-6 weeks for you to receive a reimbursement check.


Name *
Phone Number *
Phone Number
If splitting the cost of this event with another group or with GAP funding, please note that here.