PTO Reimbursement Form

PTO Reimbursement Form

Instructions:

Please fill out entirely with the description of reimbursement and breakdown of expenses.
Attach up to 3 files/pictures/scans of all receipts and supporting documentation.
A receipt of your submitted request will be e-mailed to you (please keep it for your records).
The treasurer will e-mail you when your check is ready to be picked up or mailed to you.
Questions? Please e-mail our treasurer at treasurer@inglesidepto.com.

Date

Phone Number

Email Address

Name & Position

Check Made Payable To:

Should the check be mailed directly to the payee or kept at school for pickup?*

Mailing Address

Total Amount Requested for Reimbursement/Payment:

Committee/Event*

Description/Purpose:

Attach Receipt/Invoice #1

Attach Receipt/Invoice #2

Attach Receipt/Invoice #3

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