Submitter Details
Name of Submitter
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Email
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Time of Submission
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Date of Submission
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Event Details
Purpose / Event
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Name of Submitter
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Date of Event
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Expenses
Date
Description of Expense
Amount
Expense
{binding ItemNumber}
Date
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Description of Expense
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Amount
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{{ Cognito.resources['field-repeatingsection-add-link-text'] + " " + "Expense" }}
(Less) Amount already paid
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Total amount owing to employee
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Pre-approval Details
Expenses pre-approved by
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
Executive Committee
Executive Committee
President
President
Board of Directors
Board of Directors
Board of Trustees
Board of Trustees
Event Coordinator
Event Coordinator
None
None
{ binding firstError.message }
If not pre-approved, authorized by (Enter Name)
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Was AHT Inventory checked before purchase?
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding displayValue, mode=oneTime }
{ binding firstError.message }
Inventory Checked By
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Mailing Details
Name to mail the check
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Mailing Address
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{{ Cognito.resources["address-state"] }}
Armed Forces America
Armed Forces America
Armed Forces
Armed Forces
Armed Forces Pacific
Armed Forces Pacific
Alabama
Alabama
Alaska
Alaska
American Samoa
American Samoa
Arizona
Arizona
Arkansas
Arkansas
California
California
Colorado
Colorado
Connecticut
Connecticut
District of Columbia
District of Columbia
Delaware
Delaware
Florida
Florida
Georgia
Georgia
Guam
Guam
Hawaii
Hawaii
Idaho
Idaho
Illinois
Illinois
Indiana
Indiana
Iowa
Iowa
Kansas
Kansas
Kentucky
Kentucky
Louisiana
Louisiana
Maine
Maine
Maryland
Maryland
Massachusetts
Massachusetts
Michigan
Michigan
Minnesota
Minnesota
Mississippi
Mississippi
Missouri
Missouri
Montana
Montana
Nebraska
Nebraska
New Hampshire
New Hampshire
New Jersey
New Jersey
New Mexico
New Mexico
New York
New York
Nevada
Nevada
North Carolina
North Carolina
North Dakota
North Dakota
Northern Mariana Islands
Northern Mariana Islands
Ohio
Ohio
Oklahoma
Oklahoma
Oregon
Oregon
Pennsylvania
Pennsylvania
Puerto Rico
Puerto Rico
Rhode Island
Rhode Island
South Carolina
South Carolina
South Dakota
South Dakota
Tennessee
Tennessee
Texas
Texas
Utah
Utah
Vermont
Vermont
Virgin Islands
Virgin Islands
Virginia
Virginia
Washington
Washington
West Virginia
West Virginia
Wisconsin
Wisconsin
Wyoming
Wyoming
{ binding firstError.message }
{ binding firstError.message }
Upload Receipts
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{{ Cognito.resources['fileupload-default-upload-button-text'] }}
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
Comments
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Office Use Only
Check No.
Check Date
Amount
Notes
QB Id
Check #
{binding ItemNumber}
Check No.
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Check Date
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Amount
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Notes
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
QB Id
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{{ Cognito.resources['field-repeatingsection-add-link-text'] + " " + "Check #" }}
{~ Payment_Block_Label}
{binding Group}
{binding Name}
-
{binding Description}
{binding displayValue}
{{ Cognito.resources['payment-subtotal'] + ":" }}
{binding displayValue}
{binding Name}
:
{binding displayValue}
---
{{ Cognito.resources['payment-amount-due'] + ":" }}
{binding displayValue}
Submit
Save
{{ Cognito.resources['order-transaction-details-header'] }}
{{ Cognito.resources['order-number-label'] }}:
{binding displayValue}
{{ Cognito.resources['order-date-label'] }}:
{binding displayValue}
{{ Cognito.resources['order-method-label'] }}:
{binding MethodReference}
{binding Group}
{binding Name}
-
{binding Description}
{binding displayValue}
{{ Cognito.resources['payment-subtotal'] + ":" }}
{binding displayValue}
{{ Cognito.resources['order-total-label'] }}:
{binding displayValue}
Submitter Details
Name of Submitter
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Time of Submission
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Date of Submission
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
Event Details
Purpose / Event
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Name of Submitter
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Date of Event
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
Expenses
Date
Description of Expense
Amount
Expense
{binding ItemNumber}
Date
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Description of Expense
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Amount
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
(Less) Amount already paid
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Total amount owing to employee
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Pre-approval Details
Expenses pre-approved by
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
If not pre-approved, authorized by (Enter Name)
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
Was AHT Inventory checked before purchase?
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Inventory Checked By
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Mailing Details
Name to mail the check
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Mailing Address
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
Upload Receipts
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{{ Cognito.resources['fileupload-default-upload-button-text'] }}
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
Comments
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Office Use Only
Check No.
Check Date
Amount
Notes
QB Id
Check #
{binding ItemNumber}
Check No.
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Check Date
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Amount
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Notes
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
QB Id
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
The email has been sent.
Your progress has been saved.
Copy your form link:
Email me my link:
Send
{ binding firstError.message }
{{ Cognito.resources['order-transaction-details-header'] }}
{{ Cognito.resources['order-number-label'] }}:
{binding displayValue}
{{ Cognito.resources['order-date-label'] }}:
{binding displayValue}
{{ Cognito.resources['order-method-label'] }}:
{binding MethodReference}
{binding Group}
{binding Name}
-
{binding Description}
{binding displayValue}
{{ Cognito.resources['payment-subtotal'] + ":" }}
{binding displayValue}
{{ Cognito.resources['order-total-label'] }}:
{binding displayValue}
Submitter Details
Name of Submitter
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Time of Submission
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Date of Submission
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
Event Details
Purpose / Event
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Name of Submitter
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Date of Event
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
Expenses
Date
Description of Expense
Amount
Expense
{binding ItemNumber}
Date
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Description of Expense
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Amount
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
(Less) Amount already paid
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Total amount owing to employee
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Pre-approval Details
Expenses pre-approved by
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
If not pre-approved, authorized by (Enter Name)
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
Was AHT Inventory checked before purchase?
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Inventory Checked By
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Mailing Details
Name to mail the check
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Mailing Address
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
Upload Receipts
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{{ Cognito.resources['fileupload-default-upload-button-text'] }}
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
Comments
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Office Use Only
Check No.
Check Date
Amount
Notes
QB Id
Check #
{binding ItemNumber}
Check No.
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Check Date
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Amount
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Notes
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
QB Id
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }