Reimbursement Request

Your Email Address (required)

Make Check Payable To (required)

Committee/Event (required)

Description of Purchase (required)

Total Amount Requested (required)

Please omit any taxes paid from this amount, we are unable to reimburse this.

Delivery Preference (required)

Mailing Address (if requesting check to be mailed):

Receipt Upload

PDF, image, or document — up to 8 MB.

I understand that I must submit all relevant receipts to the PTA in order to be reimbursed. Receipts may be left in an envelope in the PTA mailbox or uploaded above (required)