Faculty and Staff Check Request Form
Request reimbursement from the PFO by submitting this form. Requests are submitted to the parish office every Monday. Please allow 20 days for the parish office to process this request (per the parish office policy). If you have not received your check by the end of that 20-day time period, please email pfo@saintsimon.org.
Name
*
First Name
Last Name
Email
*
example@example.com
Date
*
-
Month
-
Day
Year
Date
Grade Level/Specialist
*
Please Select
Preschool
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
PE
ART
MUSIC
TECHNOLOGY
SPANISH
STUDENT SUPPORT
LIBRARY
COUNSELOR
CURRICULUM SPECIALIST
NURSE
Brief explanation of purchase (need met):
*
Account (reason for reimbursement)
*
Please Select
(5622.705)- Faculty Grants-must be pre-approved by PFO
(5920.705) -Classroom Needs ($300/teacher) - does NOT need PFO pre-approval
(5608.705) -Royal X Expense
(5985.705) -Guest Speakers/Outreach - must be approved by PFO
Amount
*
Notes
Upload a pdf, jpeg, png of your receipt/invoice
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: