When to use this form:

• Request reimbursement for expenses incurred for a meeting.
• Request that EBIRE pay a caterer directly for a meeting.

Directions:

• Complete the form in its entirety (excluding "Internal Use Only" section).
• Obtain the investigator’s signature for reimbursement requests.
• Submit to EBIRE.

When to use this form:

• This form replaces a packing slip. A packing slip is usually included with each merchandise shipment. The original packing slip or "Packing Slip Replacement Form" must be forwarded to EBIRE upon receipt of merchandise.

Directions:

• Complete the form in its entirety (excluding "Internal Use Only" section).
• Rather than completing the Vendor and Product sections of the form, a copy of the Purchase Order Form may be attached (write "see attached" in the "Received" or "Outstanding" sections).
• Submit to EBIRE.

When to use this form:

• Request that EBIRE order and/or pay for equipment, supplies, books, subscriptions, service, or membership dues.
• Request reimbursement for expenditures.

Directions:

Purchasing through EBIRE

• Complete the form in its entirety (excluding "Internal Use Only" section). (Complete a separate form for each vendor.)
• Keep a copy.
• Subscriptions, mail orders, dues: Complete all vendor forms in their entirety.
• Dues and subscriptions: Write "\EBIRE" next to subscriber’s name on the subscription form (e.g. "FirstName LastName, M.D.\EBIRE").
• Repairs: Inform EBIRE when purchasing merchandise that will be used to repair equipment.
• Quotes: Submit a price quote when available.
• Equipment: Obtain three quotes for any piece of equipment with a purchase price over $1,500. The investigator must certify that the quotes have been received by initialing on the appropriate line. (Do not submit the comparison quotes.)
• Always submit the original to EBIRE (even when the PO is FAXed).

Reimbursements

• Complete the form in its entirety (excluding "Internal Use Only" section).
• Complete the form in its entirety (excluding "Internal Use Only" section).
• Tape receipts to 8-1/2 X 11 paper.
• Obtain the investigator’s signature for reimbursement requests.
• Submit to EBIRE.

When to use this form:

• Request reimbursement for out-of-pocket cash expenses (limited to $50).
• Request cash to make immediate purchase (limited to $50).
• Request payment for a subject.

Directions:

Petty Cash

• Complete the top section and "Petty Cash" section of the form (excluding the "Internal Use Only" areas).
• Take the form and receipt(s), when available, to EBIRE to receive cash.
• Cash advances: return to EBIRE after making the purchase to submit the receipt and change.

Subject Payment

• When requesting a check, complete the top section and "Subject Compensation" section of the form.
• Submit to EBIRE.
• When requesting cash (limited to $50), complete the form in its entirety (excluding the "Internal Use Only" area).
• Take the completed form to EBIRE to receive cash.