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Month/Year of Care Sacramento County Stage One Child Care Request for Reimbursement 2145 Form COMPLETE AND MAIL THIS FORM TO: DHA, 2001 19th Street, Sacramento, CA 95818 Sign child in and out of care
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How to fill out request for reimbursement 2145

01
Obtain the reimbursement 2145 form from the appropriate department or online portal
02
Fill out all personal information such as name, address, and contact information
03
Provide details about the expenses incurred that require reimbursement
04
Attach any supporting documentation such as receipts or invoices
05
Submit the completed form and documentation to the designated reimbursement department

Who needs request for reimbursement 2145?

01
Employees who have incurred expenses on behalf of the company and are seeking reimbursement
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Request for reimbursement 2145 is a form used to request reimbursement for approved expenses.
All employees who have incurred approved expenses and are eligible for reimbursement must file request for reimbursement 2145.
Request for reimbursement 2145 must be filled out with all necessary information including expense details, amount requested for reimbursement, and any supporting documentation.
The purpose of request for reimbursement 2145 is to ensure that employees are reimbursed for approved expenses incurred during the course of their work.
Information such as detailed expense breakdown, total amount requested for reimbursement, and any applicable receipts or supporting documents must be reported on request for reimbursement 2145.
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