Student Account Reimbursement Request
Request reimbursement for a covered expense from your PAPA Student Account. To have Student Account funds applied to expenses paid directly by PAPA, email papatreasurer@gmail.com.
Student Name
*
First Name
Last Name
Student Year
*
Please Select
9th
10th
11th
12th
Requestor Name (Payee for Reimbursement)
*
First Name
Last Name
Requestor Email
*
example@example.com
How do you want to be reimbursed?
*
Mail me a check
Venmo
If Venmo, provide your Venmo account username:
If Check, please provide your mailing address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reimbursement Amount
*
Describe the nature of the expense.
*
Attach your Receipt
*
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By signing below, Requestor/Payee acknowledges that he/she/they is a Parent or Guardian of the Student or Parent/Guardian approval has been obtained. Reimbursements will only be paid up to the amount of the Student Account balance and for eligible expenses only.
*
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