PTC Reimbursement Request Form 2024-2025

Instructions:

Please fill out completely with description of reimbursement and breakdown of expenses.
Attach up to 10 files/pictures/scans of all receipts and supporting documentation.
A receipt of your submitted request will be e-mailed to you (please keep for your records).
The treasurers will e-mail you when your check is ready to be picked or has been mailed to you.

Filling this out means you understand that all expenditures will be accounted for with sales receipts, invoices, etc in the approved budget category.

Todays Date

PTC Program

Person Making Request

Phone Number

Check made payable to:

Should the check be mailed directly to the vendor/payee or dropped off at school?

Address to mail check (if applicable)

Total Amount Requested for Reimbursement/Payment:

Date Check Needed (please allow at least 1-2 weeks if possible):

Special Instructions

Expenses

Event

Item Purchased

Amount

Event

Item Purchased

Amount

Event

Item Purchased

Amount

Event

Item Purchased

Amount

Event

Item Purchased

Amount

Event

Item Purchased

Amount

I UNDERSTAND THAT ALL EXPENDITURES WILL BE ACCOUNTED FOR WITH SALES RECEIPTS, INVOICES, ETC., IN THE APPROVED BUDGET CATEGORY.

Attach Receipt/Invoice #1

Attach Receipt/Invoice #2

Attach Receipt/Invoice #3

Attach Receipt/Invoice #4

Attach receipt/invoice #5

Attach receipt/invoice #6

Attach receipt/invoice #7

Attach receipt/invoice #8

Attach receipt/invoice #9

Attach receipt/invoice #10