This form is no longer accepting submissions. We apologize for the inconvenience, but please use the new form.
1. Use this form when submitting miscellaneous receipts for reimbursement (not for check requests to pay a vendor who submits an invoice).
2. Please submit reimbursement requests within 60 days of purchase.
3. Make copies of the form and receipts for your records.
4. Multiple purchases: If your purchases exceed the lines provided, then either combine them or submit multiple forms.
5. Need help with this form? Contact the current PTA Treasurer: email@example.com