Kellogg PTSA Reimbursement Form 2025-2026

KELLOGG MIDDLE SCHOOL PTSA

CHECK REQUEST / REIMBURSEMENT FORM 2025-2026
Important Deadlines!
Check and reimbursement requests must be submitted
by June 1st, 2026
Please cash/deposit checks prior to June 15th, 2026
Make Check Payable to:*

First NameLast Name
Your email address:*
Your phone number:*
Mailing Address (or instructions on where to deliver check at school): *
Amount to be Reimbursed*
Purchase Category (if known)
Please send a photo/copy/PDF of the receipt(s) to treasurer@kelloggptsa.org . A reimbursement check will not be issued until all receipts are received.

For PTSA Treasurer’s Use Only:

Date Received:	Date Paid:
Budget Line Item:	Check Number:

KELLOGG MIDDLE SCHOOL PTSA