CEC Request for Reimbursement Form
Please fill out this form to request reimbursement for CEC expenses.
I am requesting reimbursement as a:
*
Please Select
Teacher/Staff
Parent
Other
Requester Information
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Expense Details
Expense Account
*
Big Simple
Events/Activities/Other Budget Categories (Clubs, Auction, Carnivals, Fundraising, Art Night)
Big Simple Classroom/Category - If splitting equally between 2 or more classrooms, please select all classrooms. If an unequal split is requested, please add details in the description field below
*
Kindy - Jihee
Kindy - Else
Primary - Emily
Primary - Erika
Primary - Gloria
Middle - Heidi
Middle - Genie
Middle - Mikelle
Upper - Angie
Upper - Sam
Upper - Kris
Music
Health
Special Education
Library
PE
Art
Event or Budget Account
*
Auction
Fall Carnival
Big Simple
Chicken Care
CEC Discretionary Fund
Special Funding Request
Winter Carnival
Talent Show
Art Night
Fundraising
Spirit Wear
Back to School Picnic
CAM Expense
Principal Discretionary Fund
Technology (these expenses need prior approval from the building technical liaison)
Other
Expense Description
*
Please include detailed information about purchase including a list of all items or item types.
Total Amount Requested for Reimbursement $
*
Receipt or Invoice REQUIRED FOR REIMBURSEMENT
Browse Files
Drag and drop files here
Choose a file
Attach a receipt or receipts here. The receipt is required for reimbursement. If you are unable to attach the receipt here, please email it to CECTreasurerAK@gmail.com
Cancel
of
Authorization
*
I certify that the expenses listed above are valid and were incurred while performing duties or tasks related to Chugach Educational Corporation (CEC). I have attached all original receipts and supporting documentation as required or will provide the digital receipts via email.
Submit
Should be Empty: