Get Safety Boot Reimbursement Form

Completing the Safety Boot Reimbursement Form online ensures a smooth and efficient process for obtaining reimbursement for your safety footwear purchases. This guide provides a step-by-step approach to assist you in accurately filling out the form.

Follow the steps to complete your reimbursement form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your full name in the 'Employee Name' field. Ensure that it matches the name associated with your employment record.
3. Locate the field labeled 'UMID#' and input your University of Michigan Identification Number. This is necessary for identifying your records in the system.
4. Fill in the 'Date of Purchase' section with the date you acquired the safety shoes or boots. Please use the mm/dd/yyyy format for clarity.
5. In the 'Amount of Purchase' field, enter the total cost of the safety shoes or boots you purchased, ensuring it does not exceed the maximum reimbursement limit of $130 per year.
6. In the designated area, confirm that you purchased steel-toed safety shoes or boots for work use and articulate your request for reimbursement due to difficulty in finding acceptable Red Wing Shoes.
7. Sign the form in the 'Employee Signature' section and date it to validate your submission.
8. Once completed, obtain your supervisor's signature in the specified 'Supervisor Signature' section, along with the date.
9. Enter the department shortcode in the corresponding field for administrative purposes.
10. Lastly, review all the information entered for accuracy, and then save your changes. You may then download, print, or share the completed form as needed.

Take the next step and complete the Safety Boot Reimbursement Form online today.