Let’s get your money back. Fill out the form belowEnsure the receipt(s) are uploadedStep 3Step 4 Pick up from the school Name * Who is submitting this request? First Name Last Name Email * Phone (###) ### #### Are you a PTA Member * Yes No No - Volunteer Make check payable to * Who shall we make the check payable to? Expense 1 If just 1 expense, skip the next 2. Expense 1: Date * What was the date of this expense? MM DD YYYY Expense 1: Related Event * What was the event this expense was for? Book Fair Campus Beautification Carnival Cultural Arts Week Donuts with Dad Programs (FFAN/RWTS) Fundraising Hospitality Homeroom Representative Membership Drive Muffins with Mom Neurodiversity & Mental Health Office Supplies/Copying Expenses Other Student Assistance Staff Lunches Teacher Appreciation Week Technology Expense 1: $ Amount of Item * What was the amount of this item? $ Expense 1: Additional Info * Is there anything else you'd like to share about this expense? Expense 2 Expense 2: Date What was the date of this expense? MM DD YYYY Expense 2: Related Event What was the event this expense was for? Book Fair Campus Beautification Carnival Cultural Arts Week Donuts with Dad Programs (FFAN/RWTS) Fundraising Hospitality Homeroom Representative Membership Drive Muffins with Mom Neurodiversity & Mental Health Office Supplies/Copying Expenses Other Student Assistance Staff Lunches Teacher Appreciation Week Technology Expense 2: $ Amount of Item What was the amount of this item? $ Expense 2: Additional Info Is there anything else you'd like to share about this expense? Expense 3 Expense 3: Date What was the date of this expense? MM DD YYYY Expense 3: Related Event What was the event this expense was for? Book Fair Campus Beautification Carnival Cultural Arts Week Donuts with Dad Programs (FFAN/RWTS) Fundraising Hospitality Homeroom Representative Membership Drive Muffins with Mom Neurodiversity & Mental Health Office Supplies/Copying Expenses Other Student Assistance Staff Lunches Teacher Appreciation Week Technology Expense 3: $ Amount of Item What was the amount of this item? $ Expense 3: Additional Info Is there anything else you'd like to share about this expense? Anything else you'd like to share? --> REMEMBER: You'll pick up the check from the school. <-- Thank you!
