Association Reimbursement & Receipt Summary

Please fill out the form below to submit your Linn County Fair Association Reimbursement. Please attach receipts before submitting form. Reimbursements will NOT be made with submission that do not include a receipt. Any questions or issues email treasurer@thelinncountyfair.com.

Reimbursement Form

First Name

Last Name

Email Address

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Reimbursement Made To:

Non-fair related/Event Area

Related to the reimbursement items

Fair Related/Event Area

Related to the reimbursement items

Pay Reimbursement via:

ACH
Check

ACH

Check

Attach Receipt(s)

I agree to the terms and conditions
*

Reimbursement Items & Dollar Amounts

1) Item Purchased

1) Dollar Amount

2) Item Purchased

2) Dollar Amount

3) Item Purchased

3) Dollar Amount

4) Item Purchased

4) Dollar Amount

5) Item Purchased

5) Dollar Amount

6) Item Purchased

6) Dollar Amount

Office Use Only

Board Approval Needed

Yes
No

Yes

Board Approval Date

Date Paid

Check Number

Treasurer Approval

Date Approved

If you prefer to submit your reimbursements in person, download the reimbursement form here.

Submit