PTC Reimbursement Form PTC Reimbursement Form Today's Date * PTC Program * Person Making Request * Phone MAKE CHECK PAYABLE TO * PHONE/TEXT # * EMAIL * ADDRESS (If check is to be mailed) FOR THE FOLLOWING AMOUNT * $ DATE NEEDED * Repeater Event List of Items Purchased Amount Add Remove I UNDERSTAND ALL EXPENDITURES WILL BE ACCOUNTED FOR WITH SALES RECEIPTS, INVOICES, ETC., IN THE APPROVED BUDGET CATEGORY. Authorization Teacher/Requestor Date Event Coordinator/Teacher Approvals: Director/Dept. Head Date Please attach receipts here Drop a file here or click to upload Choose File Maximum upload size: 20.97MB If you are human, leave this field blank. Submit