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NEW YORK STATE WIC PROGRAM
ELECTRONIC REIMBURSEMENT REQUEST
Dear Processor:
The enclosed WIC checks(s) cannot be processed through the WIC banking system due to an altered Pay Exactly
amount, and
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How to fill out electronic reimbursement request
How to fill out electronic reimbursement request
01
To fill out an electronic reimbursement request, follow these steps:
1. Access the reimbursement form online.
2. Fill in your personal information, such as name, address, contact details.
3. Provide the details of the expenses you want to claim reimbursement for, including the date, description, and amount.
4. Attach any necessary supporting documentation, such as receipts or invoices.
5. Review the form to ensure all information is complete and accurate.
6. Submit the electronic reimbursement request.
7. Wait for the request to be processed and approved.
8. Receive the reimbursement amount through the desired payment method.
Who needs electronic reimbursement request?
01
Anyone who wishes to claim reimbursement for expenses incurred and is authorized to do so by their organization or employer needs an electronic reimbursement request. This could include employees, contractors, or individuals who have incurred valid expenses that are eligible for reimbursement.
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What is electronic reimbursement request?
Electronic reimbursement request is a digital form used to request reimbursement for expenses incurred.
Who is required to file electronic reimbursement request?
Any individual or organization seeking reimbursement for expenses is required to file an electronic reimbursement request.
How to fill out electronic reimbursement request?
To fill out an electronic reimbursement request, one must input all necessary information related to the expenses incurred, including dates, amounts, and receipts.
What is the purpose of electronic reimbursement request?
The purpose of electronic reimbursement request is to request reimbursement for expenses incurred in a digital format for easier processing.
What information must be reported on electronic reimbursement request?
Information such as date of expenses, amount spent, purpose of expense, and accompanying receipts must be reported on electronic reimbursement request.
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