Duff PTA Check Request

Duff Elementary PTA Check Request

Questions? Email Emily Nankivell enanks14@gmail.com
1. Complete this form and submit it to the PTA treasurer. Please give me 2 weeks turnaround time to reimburse and check budgets.

2. Include all receipts. Reimbursement will NOT be issued without receipts. You can upload scanned copies of receipts or take a picture using this for. If you need help with this, please email enanks14@gmail.com for support.
Your Email
example@example.com
Date requested

MonthDayYear
Date
Date needed

MonthDayYear
Date
Requested By
Phone
Reason for check request (check one): Reimbursement--Attach original receipt(s) (As a reminder, sales tax is not reimbursed!) Disbursement (pay a vendor/bill)--Attach 2 copies of invoice Cash Box (Cash needed for: )
Reason for check request (check one):

Reimbursement (attach original receipt(s) and as a reminder, sales tax is NOT reimbursed)Disbursement (pay a vendor/bill)Cash Box
Cash Needed for:
Check Payable To
Check Delivery (check one):

Give check to me (check requestor).Give check to another Duff PTA memebre.Give check to Duff Secretary.Mail Check.
Please identify the Duff PTA member you would like to receive the check and their phone number.
Mail check to the following address
Accounts to Debit please list amount to debit from each account if more than one account used

Items on Receipt

Duff Elementary PTA Check Request