COLONY MEADOWS PTO CHECK/REIMBURSEMENT REQUEST FORM

1
Payee Name(The person or company that needs to be paid by the PTO)
2
Address
3
Phone
4
Requestor's Email
example@example.com
5
The next three questions are about your first reimbursement expense. Please exclude sales tax.
6
Budget Item Category of 1st Expenseie Classroom Enhancement, Fall Carnival, etc. If unsure leave blank.
7
Description of Items/Services of 1st Expense
8
Enter Amount of 1st Expense
9
The next three questions are about your second reimbursement expense. (If this does not apply then please leave blank).
10
Budget Item Category of 2nd Expense
11
Description of Items/Services of 2nd Expense
12
Enter Amount of 2nd Expense
13
The next three questions are about your third reimbursement expense. (If this does not apply then please leave blank).
14
Budget Item Category of 3rd Expense
15
Description of Items/Services of 3rd Expense
16
Enter Amount of 3rd Expense
17
CalculationTOTAL EXPENSES
18
Note: Receipts must be included. Upload Receipt(s) here
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
19
Signature of Person Submitting Request
Clear
20
Date
Date
Month
Day
Year
21
Additional comments (optional). Please include the phone number or email associated with your Zelle account for electronic payment.
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: