[Medical Reimbursement<br>(deactivated Sep 7 2022)] Finance Department

Instructions:

hopefully this:

  1. is easier than printing, signing, scanning and sending
  2. is safer than walking around asking people to sign during pandemic
  3. is less worrisome than sending around electronic photos of signature
  4. fills up the gap of google form for not having signatures
  5. enables the creation of online forms faster than development of systems for each form

 


Medical Reimbursement
(deactivated Sep 7 2022)

Finance Department

user: Login with AOLIS employee account for college enrollment | Login with AOLIS Student Account | Login with @aup.edu.ph AUP Email account | | time: Tue Apr 16 19:28:59 PST 2024 , forminstanceid: 0 Last signed: . Last edited: . | Signatures/Approvals: 0/0

Name

Date

Signed Authorization

Updated Prescription

Official Receipt

Medical Certificate (if necessary)


Medical

Authorized Physician Verification
Please login to Approve/Decline/Sign.

Bill

Aid

Health Service Director
Please login to Approve/Decline/Sign.
Assistant VP for Finance / VP Finance
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Optical

Authorized Physician Verification
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Bill

Aid

Health Service Director
Please login to Approve/Decline/Sign.
Assistant VP for Finance / VP Finance
Please login to Approve/Decline/Sign.


Dental

Authorized Physician Verification
Please login to Approve/Decline/Sign.

Bill

Aid

Health Service Director
Please login to Approve/Decline/Sign.
Assistant VP for Finance / VP Finance
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Total Bill

Total Aid

Total

Reimbursee
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