Request Reimbursement

Instructions:

THIS FORM IS REQUIRED FOR ALL REIMBURSEMENTS - If your expense is not for a class party, you must get it approved by a treasurer for it to be reimbursed.

Please attach receipts and submit within one month of the purchase.

Please note that you will only be reimbursed for what is labeled on your receipt.
For class parties you will be reimbursed for supplies and expenses up to $5 per student
Maximum dollar amount per classroom is $100 For example: If you have 18 students, your reimbursable amount will be $90 If you have 22 students, your reimbursable amount will be $100
Please allow up to 30 days for your reimbursement check before contacting the PTC Treasurers
Any questions, contact the PTC Treasurer at wbptctreasurer@gmail.com


Reimbursement Information
Reason for reimbursement class party, admin expenses, etc Teacher (if applicable) All party reimbursements need to be submitted with teacher name Zelle Account Your email address associated with your Zelle account Address: Address is still needed if you choose venmo. If for some reason venmo does not work, we will mail a check. Pay to the Order of (if not you): Total Amount For Reimbursement:

Expenses for Reimbursement
You may expense up to 5 different receipts at a time. Items listed on the same receipt can be submitted as just one expense. Expense 1 Place of Purchase Expense 1 - Amount Receipt Please JPG or PNG only (no HEIC files from iphone) Expense 2 Place of Purchase Expense 2 - Amount Receipt Please JPG or PNG only (no HEIC files from iphone) Expense 3 Place of Purchase Expense 3 - Amount Receipt Please JPG or PNG only (no HEIC files from iphone) Expense 4 Place of Purchase Expense 4 - Amount Receipt Please JPG or PNG only (no HEIC files from iphone) Expense 5 Place of Purchase Expense 5 - Amount Receipt Please JPG or PNG only (no HEIC files from iphone)

Request Reimbursement

Expense 1

Expense 2

Expense 3

Expense 4

Expense 5