Receipts for all expenses must be attached to the reimbursement form at the time of submission.
You are required to sign your expense form before it can be submitted. SRC-B members are asked to sign their form at the regular meetings or with an electronic signature. If you are submitting committee meeting expenses or Out of State travel expenses, please contact the staff liaison for more information.
There is an additional signature that is required prior to submitting your expense form. This signature is that of the Deputy Director Brianna Holeman. The staff liaison will acquire this signature which is an initial approval of your expenses after all expenses have been entered on your form. Again, all receipts must be attached and your signature on the form.
You can use extra pages if necessary. Totals are needed only on the last page.
Please contact Susan Kusz at 651-539-2271 if you have questions about how to complete this form.
If you are unable to complete or sign in person or via electronic means, please contact Susan Kusz. Do not mail your form to the address on it. Please mail your form to Susan Kusz at the following address:
State Services for the Blind
2200 University Avenue West, Suite 240
St. Paul, MN 55114-1840
Attn: Susan Kusz
**Do not send to address on form.
