LWHS PTSA Reimbursement Form

LWHS PTSA Reimbursement Form

Please allow up to 4 weeks for reimbursement checks to be issued. Our PTSA is run entirely by volunteers who are balancing many commitments, and we do our best to process reimbursements as quickly as possible. Thank you for your patience and understanding!
Full Name

First NameLast Name
Email
example@example.com
Make Check Payable To (If Different than Full Name Above):
How should we deliver your check (check one)
Mailing Address (If needed)
Description of Expense
Please upload an image of your receipts (.jpg, .jpeg, .gif, .png)

Cancelof
Amount
Budget / Line Item
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: