Receipt Submission
Who is submitting the request
Please Select
Emily Bowers
Lori Willis
Melinda Lewter
Tabitha Ward
Grace Wilson
Jen McCammon
Jennifer Shoaf
Lauren Furr
Beth Rollins
Other
Name
First Name
Last Name
Email
*
example@example.com
Total Receipts to Submit
Please Select
1
2
3
Total Reimbursable Receipts
Please Select
0
1
2
3
Back
Next
Receipt Information
A form will need to be completed for each expense submitted.
Method of Payment
*
Paid with Live Oak CC
To Reimburse
Date of Purchase
*
-
Month
-
Day
Year
Date
Merchant
*
Total Amount
*
Expense Category
*
Please Select
Bible
Language/Memory Work
Writing/Grammar
History
Science
Literature
Preschool
Events
General - For All School to Use
Lower, Upper, All School
*
Please Select
Lower School (PK-5)
Upper School (6-11)
All School
Description
*
Receipt Upload - Must include Vendor, Date, Total, Details of Purchase
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Receipt 2
R2 - Method of Payment
Paid with Live Oak CC
To Reimburse
R2 - Date of Purchase
-
Month
-
Day
Year
Date
R2 - Merchant
R2 - Total Amount
R2 - Expense Category
Please Select
Bible
Language
Writing/Grammar
History
Science
Literature
Preschool
Events
General - All School to Use
R2 - Lower, Upper, All School
Please Select
Lower School (PK-5)
Upper School (6-11)
All School
R2 - Description
R2 - Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Receipt 3
R3 - Method of Payment
Paid with Live Oak CC
To Reimburse
R3 - Date of Purchase
-
Month
-
Day
Year
Date
R3 - Merchant
R3 - Total Amount
R3 - Expense Category
Please Select
Bible
Language
Writing/Grammar
History
Science
Literature
Preschool
Events
General - All School to Use
R3 - Lower, Upper, All School
Please Select
Lower School (PK-5)
Upper School (6-11)
All School
R3 - Description
R3 Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Should be Empty: