PROFESSIONAL MEMBERSHIP
REIMBURSEMENT APPLICATION
WORKING POLICY
Professional Memberships 2:378:1
Faculty are reimbursed to an annually stated maximum for professional memberships. A receipted bill
or other evidence of payment should be submitted with the membership expense report form provided.
Cr
edit Personal Account of AU ID #
Fo
r Fiscal Year of Today’s Date
Pl
ease submit your professional memberships to Financial Records (zip 0780), once each year and
no later than April 25. Be sure to include cancelled checks, credit card statements, or other
documents as proof of receipt for each item listed.
The policy provides full reimbursement, up to $50, for any memberships, and 50% reimbursement
from $51 to $100 of membership expense, to a maximum of $75.
(N
OTE: Those in certain departments who are required to maintain a professional license or
certification for the performance of their duties at AU should request an Application for
Reimbursement of Required Certification or Licensor Fees)
Membership for which Professional Organization
Membership Amount
100% reimbursement of first $50
50% reimbursement of next $50
REIMBURSEMENT DUE (limit of $75)
Sig
ned: ________________________________________________ __________________ 119000935697
Employee Signature Date Charge Acct
Ap
proved: _____________________________________________________________________________ _________________
Dept Chair/Dean/Vice President Treasurer Date
Total Spent