PTO Disbursement Reimbursement Request

Percy Priest Elementary PTO Disbursement / Reimbursement Request

Complete all lines to ensure prompt payment.

Your Name(Required)

First Last

Your Email Address(Required)

Cell Phone(Required)

Your Address(Required)

Street Address Address Line 2 City State ZIP Code

I'm a teacher

Yes

Child's Name(Required)

Teacher(Required)

Budget line to be charged(Required)

Amount of Disbursement/Reimbursement Requested(Required)

Make check payable to(Required)

Authorized By(Required)

Description and Itemization of Expense (required)(Required)

File Upload(Required)

Accepted file types: jpg, gif, png, pdf, jpeg, doc, docx, Max. file size: 50 MB.

upload documentation for expenses.

This field is for validation purposes and should be left unchanged.