Langley PTSA Expense Reimbursement Form - updated 2025

Payment / Reimbursement Form

Langley High School PTSA / PTSA ANGP
What are you requesting:*

ReimbursementDirect debt purchase
Direct vendor/Amazon purchase form

(complete form below)
Charge To*

AmazonDirect Vendor
Reimbursement request

(complete form below)
Amazon Purchase Request

(complete form below)
Direct Vendor Request

(complete form below)
Pay to the order of*
PTSA Category*
Event/Purpose - SS*
Event/Purpose - E*
Event/Purpose - H*
Event/Purpose - GA*
Date of Event*

MonthDayYear
Vendor email/ webpage/phone
Receipt or invoice that needs to be paid

Browse Files

Cancelof
Amount to be paid

Amazon Total ($)

Total ($)
Mail to*
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Approved by (which PTSA VP approved this purchase)*
Requested by*

First NameLast Name
E-mail*
Phone Number
After you click Submit, you will receive an email with a form that you will need to print and mail to our Treasurer.
Should be Empty: