Check Request/Reimbursement Request Form 2025-2026

Instructions:

Please fill out completely with description of reimbursement/breakdown of expenses.
Attach up to 6 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 Financial Secretary will email you when your check is ready to be picked up or has been mailed per your request.
Questions? Please e-mail our Financial Secretary: emilykgill44@gmail.com

For Event/Vendor Reimbursement: As always, please remember: As a sales tax exempt organization, we cannot reimburse sales tax, so please give all vendors a copy of our sales tax exemption form to avoid being charged sales tax when you make your purchase.

Check made payable to:

Requestor's Role

Volunteer Teacher PTA Member Other

Total Amount Requested for Reimbursement/Payment:

Date of Purchase

Committee/Event/Budget Line Item

examples: Teacher classroom grant, Fiesta, Hospitality, Campus Improvements, ELAC. If Unknown, write "unknown" and provide further details in the comment section below.

Description of expense(s)

Attach Receipt/Invoice #1

Attach Receipt/Invoice #2

Attach Receipt/Invoice #3

Attach Receipt/Invoice #4

Attach Receipt/Invoice #5

Attach Receipt/Invoice #6

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

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

Please mail to vendor/payee I will pick it up from school

Mailing Address if applicable

Please provide address to mail check.