Free Legal Expense Form

Please fill out this form completely to report expenses related to legal services or activities.
Submitter Information
Name
Case/Reference Number
Date Submitted
Department Name
Client Name (if applicable)
Expense Details
Date | Expense Description | Category | Amount |
|---|---|---|---|
| | | |
| | | |
| | | |
Total Amount:
Preferred Payment Method
Direct Deposit
Check
Approval Status
By signing below, I confirm that the details provided above are accurate and true to the best of my knowledge.
Name:
Date:
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