TDSA - Reimbursement Request

Pre-payment Request Form
PLEASE READ BEFORE SUBMITTING
- Employees must seek pre-approval from their Department Heads, prior to making any purchases on behalf of the school.
- Once submitted and approved, the request will be forwarded to Bookkeeping for payment.
- Please allow up to three business days for processing. You will be notified once the payment is available.
If you need additional information, need help completing this form or have questions about your prepayment, please feel free to reach out to 404-692-5261 Ext. 1 or bookkeeper@torahday.org.
Information
Name*

First NameLast Name
E-mail Address*
Your E-mail Address
Payment Information
Payable To*
Payment Amount*
Expense Account*
Other Expense Account*
Please Upload Invoice Here*

Cancelof
Check in handCheck sent directly to vendor
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please describe what these items/services were for?*
Please include as much detail and information as possible, to assure this request is processed and a check is issued in a timely fashion.
Pre-Approval Information
This purchase/service was pre-approved by?*
Approver Name*

First NameLast Name
Approver Email*
Email Address
Sign & Submit
Signature*
Today's Date*

MonthDayYear
Date
Should be Empty:

Pre-payment Request Form