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.
PFO Account 2700.705 Check Request
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):
*
PFO 2700.705 Account/Committee (reason for reimbursement)
*
Please Select
Faculty Grants-must be pre-approved by PFO
Classroom Needs ($300/teacher/specialist) - does NOT need PFO pre-approval
Royal X Expense ($30/teacher/specialist)
Guest Speakers/Outreach - must be approved by PFO
Principal Fund
For PFO Internal Tracking
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
Amount
*
Name
*
First Name
Last Name
Email
*
example@example.com
Address Check Should be Mailed to:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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.
PFO Signature:
(For PFO Use Only)
Upload a pdf, jpeg, png of your receipt/invoice
*
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