Riverwood International Charter School Parent Teacher Student Association
PAYMENT REQUEST
Directions for Payment Requests or Reimbursement:
Please complete the payment request form below and attach detailed receipt(s). Reimbursements will be received via check within 2-3 weeks.
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Requester
*
First Name
Last Name
Requester Email
*
example@example.com
Requester Phone Number
*
Please enter a valid phone number
Format: (000) 000-0000.
Amount of Payment Request
*
Receipt Attached
*
Original
Scanned Copy
Budget Category
*
Please Select
Teacher Mini-Grants - ADVANCED APPROVAL REQUIRED
Student Mini-Grants - ADVANCED APPROVAL REQUIRED
Reflections
Hospitality - New Teacher Mentor Lunches
Hospitality - August Welcome Back Breakfast
Hospitality - Custodian Appreciation
Hospitality - Bus Driver Appreciation
Hospitality - Counselor Appreciation
Hospitality - Holiday Luncheon
Hospitality - Rockstar Recognition
Hospitality - VIP Breakfasts (Counseling)
Hospitality - Teacher Appreciation Week
Hospitality - End of Year Lunch
Hospitality - College Night
Hospitality - College and Career Fair Lunch
Hospitality - TOY, POY & ROY award
Hospitality - Faculty Breakfast - TOY, POY & ROY
Student Engagement - Freshman Tailgate
Student Engagement - Sophomore Sweets
Student Engagement - Junior Move-Up
Student Engagement - Finals Week (Dec)
Senior Activities - Last First Day
Senior Activities - Prelude to Graduation
Senior Activities - Prelude - Facility Rental
Senior Activities - Senior Celebration
Senior Activities - Senior Yard Signs
Senior Activities - Blue Envelope
Communications - Website and Domain Name
Communications - Square Space
Memberships & Fundraising
Alumni Relations - Signage
Alumni Relations - Catering
Alumni Relations - Promotional Items
PTSA Operating - Principal Circle Coffee
PTSA Operating - Platinum Coffee (VIP Donor Event)
PTSA Operating - Writing Center
PTSA Operating - General Membership Coffee
PTSA Operating - Principal Directed Projects
PTSA Operating - Quickbooks
PTSA Operating - Insurance
PTSA Operating - Audit Fees and Tax Prep
PTSA Operating - Incorporation Fee
PTSA Operating - Banking/Credit Card Fees
PTSA Operating - PTSA Dues (State & Local)
PTSA Operating - Jotform
PTSA Operating - Administration and Supplies
PTSA Operating - Classroom Supply Reimbursement
Previous Year Budget Items
Other - Explain in Section Below
Event Description, Date and Purpose of Payment
*
Direct Payment To
*
Who is the check payable to, or who will receive the credit card payment?
If check, mail to:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Requester's Signature
*
Upload Receipt(s)
*
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Receipts must be attached to this form and submitted within 15 days of expenditure. Pre-approval must be made for all purchases. Failure to obtain approval my result in purchaser having to incur the expenses. Signature of the PTSA President if required before reimbursement. This form will automatically route to the PTSA President and Treasurer for approval.
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