Check Request/Reimbursement Request Form

INSTRUCTIONS:

Please fill out completely with description of reimbursement and breakdown of expenses.
Attach up to 3 files/pictures/scans of all receipts and supporting documentation.
A receipt of your submitted request will be e-mailed to you (please keep for your records).
The treasurers will e-mail you when your check is ready to be picked or has been mailed to you.
Questions? Please e-mail our treasurer at stmlionspto@gmail.com (SUBJECT TREASURER).

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PLEASE SUBMIT ALL REIMBURSEMENT REQUESTS WITHIN 30 DAYS OF PURCHASE

Check made payable to:

Address where check should be mailed

Total Amount Requested for Reimbursement/Payment:

Committee/Event

Description/Purpose:

Attach Receipt/Invoice #1

Attach Receipt/Invoice #2

Attach Receipt/Invoice #3

Requester Name

Requester Phone Number

Date Check Needed (please allow at least 1-2 weeks if possible):