Marion Jordan PTA Expense Reimbursement Form

Marion Jordan PTA Expense Reimbursement Form
Please use this form to submit for reimbursement for any approved PTA expenses. Ensure that all documentation is attached, legible, and supports the full amount of the requested reimbursement amount. Payments cannot be processed without support.

Hit the green SUBMIT button at the bottom of this form to submit your request after you have entered all of your information.

If you have any questions, please contact the Marion Jordan PTA Treasurer (MJTreasurer@gmail.com).
Name*

First NameLast Name
Email*
example@example.com
Date of Expense (if applicable)
If your expenses are for a particular event, please provide the date it occurred/will occur
Description of Receipt*
Budget Line Item (if known)
Total Amount Requested*
Upload Receipts/Documentation*

Ensure photos/scans of your receipts or invoices are clear and easy to read. Payments will not be processed without supporting documentation. Amount listed on documents must match amount requested for reimbursement.
Cancelof
Check Payable To*
Enter the name of the payee for the check
Payment Delivery*

Check is to be sent via backpack mail (Enter student name & teacher below)Check is to be mailed (Enter mailing address below)Other (Specify)
Student Name & Teacher Name (for backpack mail delivery only)
Mailing Address (leave blank if delivered through backpack mail)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Additional Comments/Notes:
After you have completed all fields above, please scroll down to the bottom of this form and hit the green SUBMIT button. You will receive a confirmation e-mail to the e-mail address submitted in the form. If you do not receive a confirmation email, then your request has not been received.

Contact the PTA Treasurer (MJTreasurer@gmail.com) with any questions.
THIS SECTION TO BE COMPLETED BY A PTA BOARD MEMBER ONLY
PTA Board Member Name
REMINDER: Prior to signing, please review all support to verify that the expense is accurate, within the approved budget, and that the attached support is correct and matches the requested reimbursement amount
PTA Board Member Signature

Clear
PTA President Name
PTA President Signature

Clear
FOR PTA TREASURER ONLY
Check Number
Check Date
Should be Empty:

Marion Jordan PTA Expense Reimbursement Form

THIS SECTION TO BE COMPLETED BY A PTA BOARD MEMBER ONLY

FOR PTA TREASURER ONLY