PTA Disbursement Request Form

PTA Disbursement Request Form

2025-2026
Please use this form to request reimbursement or vendor payment for approved PTA expenses. Questions? Please email treasurer@pointersrunpta.org. Thank you for your support of the Pointers Run PTA!
Disbursement Information
Request for reimbursementVendor invoice
Amount requested:*
Pay to the order of:*
Charge to PTA account:*
Family Fun Committee Sub-Account:*
PTA Store Sub-Account:*
Social Committee Sub-Account:*
CheckZelle
If check, address to which check should be mailed:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If Zelle, phone number or email to receive funds:*

Itemized expenses*

Disbursement Information