Expense Reimbursement Form

Thank you for your continued support of the Bishop PTO! If you have spent your own money on a PTO event / item and wish to be reimbursed, please complete the form below. All reimbursements must include copies of receipts in order to be considered. Don't forget to use our non-profit status when purchasing items (link here). If you have any questions, please feel free to contact one of the Treasurers Karin Moellering or David Brecht.

Name *

First

Last

* Indicates required field

Address *

Line 1

Line 2

City

State

Zip Code

Country

PTO Event or Reason for Purchase *

Email *

Phone Number *

Date of PTO Event *

Description of item(s) purchased (include cost per item) *

Total reimbursement amount requested *

Check/s to be made payable to: *

How would you like to receive payment? *

Upload Applicable receipts (Please remember to turn in all receipts. PTO must have receipts in order to process reimbursement. You may add additional line items if needed) *

Max file size: 20MB

Additional Files *

Max file size: 20MB

Additional Files (2) *

Max file size: 20MB

Submit

​Expense Reimbursement Form

Expense Reimbursement Form