Jack D Johnson Elementary  

PTO Expense Reimbursement Form  

2026-2027 School Year  

Date: ___________________________________  Teacher: ______________________________________

Reimbursement Preference:  

Name: ___________________________________ Zelle:  ___________________________________ Check:  

Email: ___________________________________ Mailing Address (if prefer a check):  Phone: ___________________________________  

Circle or highlight the amounts on each receipt requested for reimbursement.  

Fill in this form with as much detail as possible.  

Scan/Photograph the form and the receipts.  

E-mail the form and receipt(s) to the PTO Treasurer Melisa Snyder (jackjohnsonpto@gmail.com).  

If choosing Zelle, reimbursements will usually take less than 48 hours. If choosing a check, reimbursements will usually  take a week.

Date of Purchase

Description (Vendor + Item Description)

Total Amount

Total Due:  ________________________________

Questions?  

Treasurer: Melisa Snyder - Email: jackjohnsonpto@gmail.com - Phone: 2147554275