By entering my initials, I certify that the above expenses were incurred as detailed above. I understand receipts are required for the reimbursement process. To avoid a delay, mail or fax all necessary receipts to CerV at 400 S. Zang Blvd. Suite 1414, Dallas, Texas 75208.
You must electronically submit this request by clicking on the SUBMIT button below. Submitting a handwritten or typed form will significantly delay payment processing time.
After clicking the submit button on this invoice, you will receive a confirmation email to let you know it has been received. If you do not receive the email within 24 hours, please contact the office directly at (214) 941-8529. Thank you.
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