Check Request Form

Check Request Form

Wood Acres Elementary School PTA
For completeness, fill out all (*) fields and upload receipt copies. If you are unable to scan receipts (or take photos on your phone): you may fill out the form, print the form, and then physically attach the original receipts and/or invoices. This physical request can be placed in the Treasurer's folder in the PTA box at school.

Questions can be directed to Katie Yanushonis: treasurer@woodacreaspta.org
*Submitted by:

First NameLast Name
*Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
*Email
example@example.com
Phone Number
Format: (000) 000-0000.
*Delivery Method
Fill in 1 of 2 Options: "Mail to Home - [street, city, state, zip]" OR "Backpack - [Child's Name]; [Grade]; [Teacher's Name]"
*Committee or Fund Name
*Check Payable To:
Additional Notes
*Receipt/Invoice Image Upload

Cancelof
*Total Reimbursement
Should be Empty: