PTO Disbursement Reimbursement Request

Percy Priest Elementary PTO Disbursement / Reimbursement Request

Complete all lines to ensure prompt payment.

ALL PURCHASES TAX-EXEMPT. Inform vendor that Percy Priest PTO is a tax-exempt organization. Tax-exempt number is 935418112. Tax-exempt forms are available in the office. The PPE PTO DOES NOT reimburse sales tax.

ATTACHMENTS. For disbursement requests, attach a copy of an invoice or bid. For reimbursement requests, attach a copy of a receipt.

Your Name(Required)

First Last

Your Email Address(Required)

Cell Phone(Required)

Your Address(Required)

Street Address Address Line 2 City State ZIP Code

I'm a teacher

Yes

Child's Name(Required)

Teacher(Required)

Budget line to be charged(Required)

Amount of Disbursement/Reimbursement Requested(Required)

Multiple expenses against SAME budget? Total them here and submit all receipts together.

Make check payable to(Required)

Authorized By(Required)

Description and Itemization of Expense (required)(Required)

Note: you may add up multiple expenses if against same budget. For example, if for one event, you may add multiple expenses as long as all receipts are added. Please list individual expenses here.

File Upload(Required)

Add receipts to support total amount. Multiple receipts in one image/file ok if same budget.

Drop files here or

Accepted file types: jpg, gif, png, pdf, jpeg, doc, docx, Max. file size: 50 MB.

Phone

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

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Percy Priest Elementary PTO Disbursement / Reimbursement Request

ALL PURCHASES TAX-EXEMPT. Inform vendor that Percy Priest PTO is a tax-exempt organization. Tax-exempt number is 935418112. Tax-exempt forms are available in the office. The PPE PTO DOES NOT reimburse sales tax.

ATTACHMENTS. For disbursement requests, attach a copy of an invoice or bid. For reimbursement requests, attach a copy of a receipt.