MI PTA Council Reimbursement Form

Instructions:

Fill out completely with description of reimbursement and attach original receipt(s).
A receipt of your submitted request will be emailed to you (keep for your records).
Submit reimbursement request within 2 weeks after the event.
Please allow 2 weeks for processing.
Receipts or invoice required for all reimbursements.

Questions? Please email treasurer@miptacouncil.org

Reimbursement Information

Date of Event/Expenses:

Check Payable To:

Total Amount For Reimbursement:

Should check be placed in your folder or mailed?

If check is to be mailed, provide the address.

Expenses for Reimbursement

Expense 1 - Amount

Expense Is For:

PTA Awards Ceremony Reflections SSALD Legislative Activities Convention PTA Trainings DEI Office & Administrative- Insurance, Communications, etc. Parent Edge Speaker Fee/Expenses Grad Grams Other

Place of Purchase

Attach Receipts

Please attach one file with copies of all receipts

Expense 2 - Amount

Expense is For:

PTA Awards Ceremony Reflections SSALD Legislative Activities Convention PTA Trainings DEI Office & Administrative- Insurance, Communications, etc. Parent Edge Speaker Fee/Expenses Grad Grams Other

Place of Purchase

Attach Receipts

Please attach one file with copies of all receipts

Expense 3 - Amount

Expense is for:

PTA Awards Ceremony Reflections SSALD Legislative Activities Convention PTA Trainings DEI Office & Administrative- Insurance, Communications, etc. Parent Edge Speaker Fee/Expenses Grad Grams Other

Place of Purchase

Attach Receipts

Please attach one file with copies of all receipts

Expense 4 - Amount

Expense is for:

PTA Awards Ceremony Reflections SSALD Legislative Activities Convention PTA Trainings DEI Office & Administrative- Insurance, Communications, etc. Parent Edge Speaker Fee/Expenses Grad Grams Other

Place of Purchase

Attach Receipts

Please attach one file with copies of all receipts

Expense 5 - Amount

Expense is for:

PTA Awards Ceremony Reflections SSALD Legislative Activities Convention PTA Trainings DEI Office & Administrative- Insurance, Communications, etc. Parent Edge Speaker Fee/Expenses Grad Grams Other

Place of Purchase

Attach Receipts

Please attach one file with copies of all receipts

Approval

Approved By:

Approved by Date:

Treasurer's Notes

(to be completed by the Treasurer)

Date Check Issued

Check Number:

Notes

MoneyMinder Entry Date

Account Name

Our Mission:

The mission of the Mercer Island PTA Council is to serve as a resource to unit PTAs, families, and community members within the Mercer Island School District – and to advocate for the health, well-being, inclusion, and education of every child.

4160 86th Ave SE

Mercer Island, WA 98040

Copyright © 2022 MI PTA Council. All Rights Reserved.

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