2025-26 TJ PTSA Reimbursement/Check Request Form
Today's Date
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.
Month
.
Day
Year
Date
Total Expense Incurred
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Total Amount Requested
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(Total expenses minus amount donated)
Committee
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Please Select
Welcome Parties
Academic Support Committee (ASC)
College Planning Committee (CPC)
Health and Wellness Committee (HWC)
Hospitality Committee (HC)
General PTSA (EC)
Others
Event / Reason for Reimbursement (50 char max)
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Please enter a short but decsriptive entry
Submitting the right itemized receipts and right totals will ensure a timely processing
Supporting Documents (do not use '.com' as part of the filename)
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Browse Files
Drag and drop files here
Choose a file
Up to 10 files. Please submit another form if receipts are more than 10. Do not use '.com' as part of the filename.
Cancel
of
Payable To
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Full Name
Send via Zelle or Mail the Check?
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Zelle
Mail the Check
Phone Number or Email (recommended)?
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Phone Number
Email
Zelle Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Reenter to verify Zelle Phone Number (please do not cut and paste)
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Please enter a valid phone number.
Format: (000) 000-0000.
Zelle Email
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Confirmation Email
example@example.com
Mail Check To
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Full Name
Address
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Address
Requester Name
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Full Name
Requester Email
*
example@example.com
Requester Phone
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Please enter a valid phone number.
Format: (000) 000-0000.
Requester Signature
*
Submit
Should be Empty: