Ella Baker PTSA

Email questions to Treasurer@EllaBakerPTSA.org

TO RECEIVE FULL REIMBURSEMENT:

ALL RECEIPTS MUST BE SUBMITTED
REIMBURSEMENT REQUESTS SHOULD BE SUBMITTED WITHIN 30 DAYS
ELLA BAKER PTSA RESERVES THE RIGHT TO DECLINE TO REIMBURSE EXPENSES THAT ARE NOT SUBMITTED BY SECOND WEEK OF JUNE OF THE CURRENT SCHOOL YEAR.

Name

First Name

Last Name

Today's Date

MM

DD

YYYY

Email

Phone

(###)

###

####

Name to make the check payable to:

Address to mail check to:

Return Check Via:

School MailboX (for Staff and PTSA Board)

In-Person Delivery (for PTSA)

Mail to provided address

Amount to Reimburse

$

Explanation for Check or Reimbursement:

Name and Title of Approver :

(VP or Committee Chair for budget category being used or co-president, as applicable)