Dr. MLK Jr. PTA Expense Reimbursement Form

Dr. MLK Jr. PTA Expense Reimbursement Form
Requested by*

First NameLast Name
Email
example@example.com
Expense Approved by

Qualified Expenses*

	Date	Vendor	Description	Category	Cost
1
2
3
4
5
6
7
8

Total Reimbursement Requested
Take a Photo of Your Receipt
Upload Receipt File

Browse Files
Best for electronic receipts Cancelof
Date*

MonthDayYear
Date
Signature*

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