Invoice Invoice If you are human, leave this field blank. Today’s Date * Full Legal Name * Email * Phone Number * Is this for an invoice or request of reimbursement ? * Invoice Reimbursement Both OtherOther What was is that you did at event? * Service Admin Employee Vendor OtherOther Date of Event * Exact date of the event, or dates for receipts) Amount (total amount) * This invoice is for ? Type in date, list what it was for) This reimbursement is for? (Type in date, what it was for, must attach receipt/s) Receipt Uploading Files. Please Wait. Drop a file here or click to upload Choose File Maximum upload size: 104.86MB Receipt Drop a file here or click to upload Choose File Maximum upload size: 104.86MB Receipt Drop a file here or click to upload Choose File Maximum upload size: 104.86MB Receipt Drop a file here or click to upload Choose File Maximum upload size: 104.86MB Receipt Drop a file here or click to upload Choose File Maximum upload size: 104.86MB You understand that before this invoice is submitted to management, we must receive W9 form filled out and signed * Agree You understand that before this invoice is submitted to management, we must receive signed Release Form * Agree You understand that this is just a submission and that it must be approved first before a payment is sent out to you * Agree You agree that your email may be kept to send you updates * Agree You agree that you are submitting on your own behalf and not anyone else * Agree Your information will remain private and will remain with Latinos Unidos Fundacion Inc and Affiliates * Agree reCAPTCHA Entry Key
