TCS PTO Expense Reimbursement Form
Today's Date:
*
-
Month
-
Day
Year
Name of Individual Completing Form:
*
First Name
Last Name
Request Information
Event Name:
*
Select Event
Box Tops
Carpool Candy
Christmas Ornaments
Classroom Equipment/Games
Fall Family Picnic
Family Fellowship Nights
Father-Daughter Dance
Harris Teeter Rewards
LS Bingo Night
LS Fall Event
LS School Supply Sales
LS Spring Event
New Family Dessert
Open House Popsicles
PTO Equipment Purchase/Replacement/Repair
PTO G&A Expense
PTO Luncheon
PTO Supplies
Teacher Appreciation Week
Teacher Appreciation Lunch (Fall)
Teacher Appreciation Lunch (Spring)
Teacher/Staff Birthdays
US Exam Snacks
Volunteer Appreciation
Other
Please describe event:
Event Date:
*
-
Month
-
Day
Year
Request Type:
*
Reimbursement
Issue Check
Cash/Check Deposit
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Next
Reimbursement
Make Check Payable to:
*
First Name
Last Name
Mailing Address:
*
Street Address
Street Address Line 2
City
State
Zip Code
Total Amount to be Reimbursed
*
Enter # of receipts:
*
Limit 5
Receipt #1
Receipt #1 - Description of Items:
*
Receipt #1 - Store:
*
Receipt #1 - Amount:
*
Upload Receipt #1
*
Receipt #2
Receipt #2 - Description of Items:
Receipt #2 - Store:
i.e. Target
Receipt #2 - Amount:
Upload Receipt #2
Receipt #3
Receipt #3 - Description of Items:
Receipt #3 - Store:
i.e. Target
Receipt #3 - Amount:
Upload Receipt #3
Receipt #4
Receipt #4 - Description of Items:
Receipt #4 - Store:
i.e. Target
Receipt #4 - Amount:
Upload Receipt #4
Receipt #5
Receipt #5 - Description of Items:
Receipt #5 - Store:
i.e. Target
Receipt #5 - Amount:
Upload Receipt #5
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Next
Issue Check
Make Check Payable to:
*
Vendor Name
Vendor Mailing Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Check Amount:
*
Description of Items:
*
Upload Invoice/Bill
*
Additional Instructions:
Has a W9 been completed?
*
Select one
Yes
No
Not necessary/Already completed
Please have the vendor complete a W9 form and upload it here:
*
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Next
Cash/Check Deposit
Cash Deposit Amount:
*
Check Deposit Amount:
*
Total Deposit Amount:
*
Description of Deposit:
*
Date of Deposit:
-
Month
-
Day
Year
Filled out by Treasurer when deposit is completed.
Upload Payment Tracking Docs/Deposit Tickets
Browse Files
Deposit ticket uploaded by Treasurer when deposit is completed.
Cancel
of
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Next
Submitter Signature
Certification:
*
I certify that all information entered above is valid and true.
Email Address:
*
example@example.com
Signature of Submitter:
*
Submit
Approvals
Approver #1:
Please select role
Treasurer
Secretary
President
Immediate Past President
Approval Date:
-
Month
-
Day
Year
Date
Approver #1 Signature:
Approver #2:
Please select role
President
Past President
Secretary
Treasurer
Approval Date:
-
Month
-
Day
Year
Date
Approver #2 Signature:
Submit
Should be Empty: