Reimbursement Request Form
Submit your reimbursement or payment requests to the SCE PTO. Please complete all required fields and provide supporting documentation.
Today's Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Your Name
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Total Amount Requested/Charged
*
Type of Request
*
Please Select
Check Request for reimbursement
Check Request for payment to a vendor
Notification of Charge Already Made on SCE Card
Other
Delivery Method of Check Requests
*
Please Select
I will pick up the check from the President's home
Deliver Check to Front Office
Pay Vendor Online
Purchase Already Made
Purchase Description
*
Please state what the purchase was/is for and what program expense you are using it from
Receipt / Documentation Upload
*
Upload a File
Drag and drop files here
Choose a file
Please attach thedocumentation of yourexpense(receipt/purchaseorder/invoice).Undocumented requestscannot be processed.
Cancel
of
I understand and agree that sales tax will not be reimbursed by the SCE PTO.
*
I understand and agree that sales tax will not be reimbursed by the SCE PTO.
Submit
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