2026 Raffle Basket Reimbursement Form

Instructions:

This form is to be used by the 2026 Spring Fair Raffle Basket Bosses to request reimbursement for expenses incurred for their classroom basket.

Each Raffle Basket is eligible for a maximum reimbursement amount of $73.80.

Only one reimbursement submission may be submitted per basket.

If you coordinated more than one basket, please submit a separate reimbursement request for each classroom basket. The Treasurer may combine approved reimbursements and issue one check for the total amount.

All receipts must be combined into one PDF file and uploaded with the submission. Any non–basket-related purchases or personal expenses should be blacked out prior to submission. Expenses should be itemized and totaled for review and approval.

All reimbursement requests must be submitted by May 29, 2026. No reimbursements will be issued after this date.

Approved reimbursement checks will be mailed home.

A receipt of your submitted request will be emailed to you (keep for your records)

**You must click "save and continue" on the bottom of the form for successful submission**

Choose your classroom teacher*

Your first name

Your last name

Please provide an itemized list of all basket-related expenses and include the total reimbursement amount requested for review and approval.

Total Reimbursement Request

Compile multiple receipts into one PDF and upload here

Who should the check be made payable to?

Please indicate mailing address:

Once you have completed all above sections, please scroll to the bottom of the page and click "I am finished with this form...", then click "save and continue". You will be given the option to submit on the following screen.

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You will recieve an email receipt to confirm submission. If you do not receive the confirmation email, please contact info@sugartownpto.com.

ALL REMAINING FIELDS TO BE COMPLETED BY PTO BOARD MEMBERS

APPROVALS

Approval Status - to be completed by Erin DeRafelo (reset)

Yes No

This section will be completed after all submitted expenses have been reviewed. If “Yes” is selected, the reimbursement may be processed by the Treasurer. If “No” is selected, the approver will follow up to request additional information or clarification.

Date of Approval

Account to be charged

Spring Fair

TREASURER

Check number

Date check issued

Additional notes, if needed

Welcome to Sugartown Elementary PTO

2026 Raffle Basket Reimbursement Form