• Fill in the employee reference number and invoice amount. Remember this amount cannot include NYS sales tax. Other fields can be left blank. Although the social security number is an option, your employee reference number is the safer option.

• In the body of the form, the employee must legibly print their name, home address (include apartment number if applicable), city, state, and zip code. Reimbursements can only be made to a personal residence and not an office.

• Include a brief description of item(s) purchased (i.e. name labels) and the justification for the purchase (monthly provider meeting).

• Both the employee seeking reimbursement and their supervisor need to print and sign their name in the appropriate place.

The recommended form of payment is cash. The only item back up required in this case is the actual store receipt. Please tape the receipt onto an 8 ½ x 11 piece of paper so that it does not get separated from the SIPP form.

If paying with a debit or credit card, in addition to the receipt, you will also need to attach a copy of your bank statement showing your name and address along with all your charges. This cannot be a “one transaction” online print-out. For security purposes, you can block out everything but the last four digits of your account number and any charges that do not pertain to this reimbursement. It generally takes approximately two weeks to receive a physical check. It should be noted that there is no direct deposit option for SIPP checks.

For any inquiries about this process please reach out to the DECE Contracts & Purchasing Team and someone will respond promptly.