SEE PTO Expense Reimbursement Form

Please complete this form if:

  1. You incurred out-of-pocket expenses during the execution of a PTO event.
  2. You are a teacher & want to be reimbursed from your teacher/specialist fund.

Return completed forms to Brandy Kinser/PTO Treasurer via the PTO mailbox in the school office.  Receipts must be attached to this form.  If there are only certain items on a receipt that are being reimbursed, please underline or highlight those items.  Receipts will be collected every Friday & checks will be distributed the following Monday.

If you have any questions, send an email to brandy.kinser@edmonson.kyschools.us

Date: _________________________

Amount Requested: ______________

Event: _________________________

Pay to the order of: _____________________________

Itemize or Explain purpose or reason for reimbursement:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Submitted by: _____________________________________

*************************For Treasurer’s Use Only**************************

Budget Category: ______________________        Check Date: ___________________

Check Number: ________________________        Amount Paid: __________________