Check Request

Check Request
The turnaround time for all check requests is 7-10 business days.

Please ensure that the form is filled out completely and that your committee chairperson has signed off on the form. Committee chairs are responsible for maintaining a record of the request for budgeting purposes. All requests must have receipts/invoices attached in accordance to standard accounting practices. Failure to comply will lead to possible delays or rejection of payment.
Email*
example@example.com
Today's Date

MonthDayYear
Date
Requested By
Payable To
Committee
Function
Function Date

MonthDayYear
Date
Chair Signature

Clear
Amount Requested *
Total amount requested from Norton Creek Treasurer
Please Note: All checks will be routed to you through your child's backpack unless a mailing address is provided.
Childs Name
Grade/Teacher
Mailing Address
Upload a copy of ALL receipts and invoices here! *

A copy of all invoices and receipts must be received. If file size too large, email nortoncreekptotreasurer@gmail.com!
Cancelof
Receipt(s) for the total amount of the request must be attached to this form. Please itemize receipt(s) in the space provided below or attach a typed list from Word or Excel. Please do not write your list on the back of this form.
Purpose (please specify food, decorations, etc)*
Amount*
Purpose (please specify food, decorations, etc)
Amount
Purpose (please specify food, decorations, etc)
Amount
Purpose (please specify food, decorations, etc)
Amount
Purpose (please specify food, decorations, etc)
Amount
Purpose (please specify food, decorations, etc)
Amount
Purpose (please specify food, decorations, etc)
Amount
Purpose (please specify food, decorations, etc)
Amount
Purpose (please specify food, decorations, etc)
Amount
PTO TREASURER USE ONLY
Check #
Check Date

MonthDayYear
Date
Should be Empty:

Check Request

PTO TREASURER USE ONLY