Reimbursement Request Form

Instructions:

Please fill out completely with description of reimbursement and breakdown of expenses.
Specify if you would like a check or Venmo payment
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).
Questions? Please e-mail our treasurer at Treasurer1@generalwaynepto.org


Payee
Check made payable to or Venmo Please list who to make check payable to. If requesting a VENMO please list VENMO ACCOUNT NAME and last 4 of PHONE NUMBER attached to Venmo account for verification.

Check/VENMO request
Should the check be mailed directly to the vendor/payee or dropped off at school?*

Amount
Total Amount Requested for Reimbursement/Payment: Committee/Event*

Description
Description/Purpose:

Receipt
Attach Receipt/Invoice #1

Reciept
Attach Receipt/Invoice #2

Receipt
Attach Receipt/Invoice #3

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

Instructions:

Please fill out completely with description of reimbursement and breakdown of expenses.
Specify if you would like a check or Venmo payment
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).
Questions? Please e-mail our treasurer at Treasurer1@generalwaynepto.org