Reimbursement Request (PTA)

Instructions:

Fill out completely with description of reimbursement and breakdown of expenses (missing info will delay payment.) Attach one file with copies of all receipts, preferably a PDF.
Specify if the check should be reimbursed to you or sent to a vendor.
REMEMBER – PTA DOES NOT PAY SALES TAX on items purchased for its use; therefore sales tax will not be reimbursed.
A receipt of your submitted request will be emailed to you (keep for your records.)

Reimbursement Information

Full Name:

Cell Phone:

Email:

If check is to be mailed, please provide the address.

Expenses for Reimbursement

Expense Amount

(Less Sales Tax) SCS PTA is a tax exempt organization and therefore cannot reimburse for sales tax. Please make sure to bring the Tax Exempt Certificate before making purchases on our behalf. SCS PTA Presidents or Treasurer will be able to provide you with a copy of this form.

Expense Is For:

Place of Purchase:

Additional Information:

Provide any additional information if needed.

Attach Receipts

Please attach one file with copies of all relavant receipts

Approval

Digital Signature:

Date:

Treasurer's Notes
(To be completed by the Treasurer)

Date Check Issued

Check Number:

Notes

Reimbursement Request (PTA)

Reimbursement Information

Expenses for Reimbursement

Approval

Treasurer's Notes(To be completed by the Treasurer)

Treasurer's Notes
(To be completed by the Treasurer)