Reimbursement Request Form 2026-27

Instructions:

Please fill out completely with description of reimbursement and breakdown of expenses.
- Feel free to group your expenses - please make sure that it is grouped in a way that is clear (i.e., all Amazon purchases with a summary showing which purchases correspond).
- Please note that should you exceed the number of line items in your submission, please complete another reimbursement request for the remaining items, or group the expenses in a meaningful way.
Attach a file/picture/scan of all receipts or supporting documentation.
- A screenshot is acceptable as long as it proves the payment was made.
- Please ensure the full receipt is included, not a portion.
- Please group all receipts into one file upload.
A receipt of your submitted request will be e-mailed to you (please keep for your records).
A check will be mailed directly to your preferred address once reimbursement is approved.
Questions? Please refer to the PTO Treasurer.

Please remember: As a sales tax exempt organization, we cannot reimburse sales tax, so please give all vendors a copy of our sales tax exemption form to avoid being charged sales tax when you make your purchase.

Make check payable to: Grand total amount for reimbursement (do not include tax): Where would you like your check mailed?* Address Telephone E-mail Attach receipt(s) Please compile all receipts into one file upload.

Items Purchased
Vendor Expense category Amount Brief description of items purchased Vendor Expense category Amount Brief description of items purchased Vendor Expense category Amount Brief description of items purchased Vendor Expense category Amount Brief description of items purchased Vendor Expense category Amount Brief description of items purchased Vendor Expense category Amount Brief description of items purchased Vendor Expense category Amount Brief description of items purchased Vendor Expense category Amount Brief description of items purchased Vendor Expense category Amount Brief description of items purchased Vendor Expense category Amount Brief description of items purchased