2026-27 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
Academic Support Committee (ASC)
AP Breakfast & Snacks (AP)
Back To School Bash (BTSB)
College Planning Committee (CPC)
General PTSA (EC)
Health and Wellness Committee (HWC)
Hospitality Committee (HC)
Reflections Committee (RC)
Student Club Support (SCS)
School Support (SS)
Welcome Parties (WP)
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)
*
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
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reenter to verify Zelle Phone Number (please do not cut and paste)
*
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
*
Please enter a valid phone number.
Format: (000) 000-0000.
Requester Signature
*
Submit
Should be Empty: