PTO Check Request

Instructions:

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

Reimbursement Information

Check Payable To:

Total Amount For Reimbursement:

Should check be placed in your folder or mailed?

If check is to be mailed, provide the address.

Notes or additional details?

Expenses for Reimbursement

Expense 1 - Amount

Account to Be Charged

Expense Is For:

Place of Purchase

Attach Receipts

Please attach one file with copies of all receipts

VP Approval

Please indicate which VP or President you are working with that needs to approve this expense.

Expense Over $1000 (reset)

Yes No

Is this expense over $1000? If so, another VP or President will need to approve.

2nd VP Approval

Because your expenses are over $1000, we will need a second VP Approval. Please indicate a 2nd VP or President that could approve this request.

Approvals

(to be completed by the VP or Presidents )

Approved By:

Would the VP or President Indicated Above, Please Approve.

Approved by Date:

Second Approved By:

Because this expense is over $1000, we need a second approval. Would the VP or President Indicated for Second Approval Above, Please Approve.

Second Approved by Date:

Treasurer's Notes

(to be completed by the Treasurer)

Date Check Issued

Check Number:

Notes

Welcome to Sugartown Elementary PTO

PTO Check Request

Reimbursement Information

Expenses for Reimbursement

Approvals

Treasurer's Notes