Faculty and Staff Check Request Form (25-26)
Please attach documentation. This is for check reimbursement only; if you used the Parish/School credit card please utilize the appropriate credit card usage form instead. Forms are processed by PFO on Mondays, or the next business day following school breaks. Please then allow an additional 20 days for the Parish Office to process this request (per the parish office policy). If you have not received your check within that timeframe, 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
CHARACHTER EDUCATION (RISE)
COMPUTER SCIENCE/MATH ENRICHMENT
RESOURCE
PE
ART
MUSIC
SPANISH
MEDIA SPECIALIST
INSTRUCTIONAL COACH
COUNSELOR
NURSE
VICE PRINCIPALS
PRINCIPAL
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/specialist) - does NOT need PFO pre-approval
(5608.705) -Royal X Expense ($30/teacher/specialist)
(5985.705) -Guest Speakers/Outreach - must be approved by PFO
(5493.705) - Principal Fund
Amount
*
Method of purchase?
Please Select
Personal Payment - need reimbursement
Other - explain in Notes section
Parish/School Credit Card - Please CANCEL use of this form and use the credit card form
Notes
Please include any applicable details, such as line items included (or not included) when the receipt has items not being expensed. You may also hand-write notes, circle items, etc. on your receipt prior to scanning.
Upload a pdf, jpeg, png of your receipt/invoice
*
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