Staff Check Request Form

Check Request
Staff Check Request Form

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

Please ensure that the form is filled out completely. Submit the form to nortoncreekptotreasurer@gmail.com. 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.

2025-26 Check Stipends

Classroom & Specials Teachers - $100
Student Support Services - $50
Non-Full Time Teachers & Staff - % of Stipend based on hours at NC
Email
example@example.com
Today's Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Requested By
Payable To
Total Hours Scheduled at Norton Creek Per Week
Amount Requested
Total amount requested from Norton Creek Treasurer
Please Note: All checks will be routed to you through your mailbox unless a mailing address is provided.
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
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Check Request

PTO TREASURER USE ONLY