Reimbursement Request Form 2026-27

Instructions:

Please fill out completely with description of reimbursement and breakdown of expenses.
Attach a file/picture/scan of each receipt or supporting documentation.
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 provided home 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 (pre-tax): Address Telephone E-mail Attach receipt(s)

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