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WA Credit Card Receipts
FOR WA CREDIT CARD USERS ONLY. Please use this form to submit your receipts from purchases made on your business credit card. All business credit card receipts must be uploaded through this form.
Contact Information
Cardholder
What is the name of the cardholder?
Your Email Address
If you'd like a copy of this submission sent to you, please include your Envision email.
Are you submitting this receipt on behalf of a cardholder?

Receipt Information
Please complete required fields below regarding purchase and receipt information.
Receipt Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate from the receipt, NOT today's date.
Business Name
Please provide the name of the business from your purchase.
Description of Purchase
Please provide a detailed description of your purchase. Especially if there are multiple accounting codes associated with the same receipt.
Total Amount from Receipt
You do not need to include the $ symbol.
Accounting Code

Purchasing Department
If you are submitting this receipt from the Purchasing department, please complete the required fields in this section.
Who is submitting this receipt?
First NameLast Name
What is the CG associated with this receipt (if applicable)?
You do not need to include the "CG" in front. Numbers only.
Has the receipt/invoice been received in RFMS?

Receipt Upload
Please upload a copy of the details receipt. For restaurant receipts, please provide the DETAILED RECEIPT; not just the total amount slip.
Receipt Upload
Please upload a JPG, PDF or PNG version of your receipt.
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WA Credit Card Receipts