Check Request/Reimbursement Request Form

Instructions:

• Please fill out completely with description of reimbursement and breakdown of expenses.
• REQUIRED: Attach up to 3 files/pictures/scans of all receipts and supporting documentation to match your reimbursement amount requested.
• A receipt of your submitted request will be e-mailed to you (please keep for your records).
• The treasurer will notify you when your check is ready to be picked or has been mailed to you.
• Questions? Please e-mail Ms. Klemczak and copy wilsonmiddleptsa@gmail.com.

As always, please remember: As a sales tax-exempt organization, we cannot reimburse sales tax, so please give all vendors a copy of our sales tax exemption form to avoid being charged sales tax when you make your purchase.