PTO Reimbursement Request E-Form 2023_2024

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).
The treasurer will e-mail you when your Check or Zelle payment is ready.
Please note, it may take up to 2 weeks to process your reimbursement. Reimbursements via Zelle are processed quicker.
Questions? Please e-mail our treasurer at cooperpto21@gmail.com , with ATTN TREASURER in the subject line.

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.


Payment Information
Payment To (Please Type out Full Name) Grand total amount for reimbursement: How would you like receive your reimbursement? If selected Zelle - Please indicate whether email or phone number is associated with the Zelle Account Email Address If using Zelle - Enter the email address associated with that account. Phone Number If using Zelle - Enter the phone number associated with that account

Receipt 1
Vendor Expense category Amount Brief description of items purchased Attach receipt

Receipt 2
Vendor Expense category Amount Brief description of items purchased Attach receipt

Receipt 3
Vendor Expense category Amount Brief description of items purchased Attach receipt

Receipt 4
Vendor Expense category Amount Brief description of items purchased Attach receipt

Receipt 5
Vendor Expense category Amount Brief description of items purchased Attach receipt