PTH Reimbursement Form
For your convenience, we complete reimbursements via electronic transfers through Zelle. See instructions for registering for Zelle below.  **PLEASE TEXT 510-377-5724 IF YOU DON'T RECEIVE PAYMENT WITHIN A WEEK.
Email *
Cannot pre-fill email
Full Name
Mobile Phone Number
School Name
What was the date(s) of the activity/project?
MM
/
DD
/
YYYY
What is the name of the activity/project?
List specific items purchased and cost of each item.
What is the TOTAL AMOUNT due for reimbursement?
Please upload a photo of the receipt(s).
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Please view instructions for registering for Zelle here. Check the box below once it is complete or if you are already registered.
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What is your Zelle Username and the phone number and/or email associated with your Zelle account? (PLEASE BE SPECIFIC. You must list your parents name or your name, whoever the ZELLE account you want reimbursed)

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