Reimbursement Form

Please submit this form and upload itemized receipts/invoices within 30 days of the expenditure, as per PTSO by-laws. Approved reimbursements will typically be processed and paid within 7-10 business days.

Name(Required)

First Last

Email(Required)

Phone

Event or Purpose(Required)

How many expenses? (Up to 10 per form)

First Expense

Date

Description

Amount

Place of Purchase

Upload Receipt

Max. file size: 256 MB.

Second Expense

2nd Expense: Date

2nd Expense: Description

2nd Expense Amount

2nd Expense: Place of Purchase

Upload Receipt of 2nd Expense

Max. file size: 256 MB.

Third Expense

3rd Expense: Date

3rd Expense: Description

3rd Expense Amount

3rd Expense: Place of Purchase

Upload Receipt of 3rd Expense

Max. file size: 256 MB.

Fourth Expense

4th Expense: Date

4th Expense: Description

4th Expense Amount

4th Expense: Place of Purchase

Upload Receipt of 4th Expense

Max. file size: 256 MB.

Fifth Expense

5th Expense: Date

5th Expense: Description

5th Expense Amount

5th Expense: Place of Purchase

Upload Receipt of 5th Expense

Max. file size: 256 MB.

Sixth Expense

6th Expense: Date

6th Expense: Description

6th Expense Amount

6th Expense: Place of Purchase

Upload Receipt of 6th Expense

Max. file size: 256 MB.

Seventh Expense

7th Expense: Date

7th Expense: Description

7th Expense Amount

7th Expense: Place of Purchase

Upload Receipt of 7th Expense

Max. file size: 256 MB.

Eighth Expense

8th Expense: Date

8th Expense: Description

8th Expense Amount

8th Expense: Place of Purchase

Upload Receipt of 8th Expense

Max. file size: 256 MB.

Ninth Expense

9th Expense: Date

9th Expense: Description

9th Expense Amount

9th Expense: Place of Purchase

Upload Receipt of 9th Expense

Max. file size: 256 MB.

Tenth Expense

10th Expense: Date

10th Expense: Description

10th Expense Amount

10th Expense: Place of Purchase

Upload Receipt of 10th Expense

Max. file size: 256 MB.

Total Reimbursement Amount

Check Payable to:(Required)

First Last

Delivery Option:(Required)

Leave check in school mailroom/front office

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Note to PTSO Financial Secretary/Treasurer:

Phone

This field is for validation purposes and should be left unchanged.

Reimbursement Form

First Expense

Second Expense

Third Expense

Fourth Expense

Fifth Expense

Sixth Expense

Seventh Expense

Eighth Expense

Ninth Expense

Tenth Expense

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