Reimbursement Request Form – Florida Charter Institute

This sample form can be utilized for employees to submit a reimbursement request for expenditures.

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Reimbursement Request Form

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The Florida Institute for Charter School Innovation [FCI] is powered by Miami Dade College. Miami Dade College is an equal access/equal opportunity institution which does not discriminate on the basis of sex, race, color, marital status, age, religion, national origin, disability, veteran’s status, ethnicity, pregnancy, sexual orientation or genetic information.o obtain more information about the College’s equal access and equal opportunity policies, procedures and practices, please contact the College’s Equity Officer:

Cindy Lau Evans, Director, Office of Equal Opportunity Programs/ADA Coordinator/Title IX Coordinator, (305) 237-2577 (Voice) or 711 (Relay Service).11011 SW 104 St., Room 1102-01; Miami, FL 33176. EquityOff@mdc.edu