West Parent Group Expense Reimbursement Request Form
Please make one form submission for EACH INDIVIDUAL receipt. This helps us manage and track expense reimbursements. Email a photo or scanned copy of your receipts to wpgbtreasurer@gmail.com

PLEASE NOTE: completed reimbursement expense form with receipts must be received by the Treasurer no later than 60 days after event completion to qualify for reimbursement. Thank you!

Name
Your name (if Expense Reimbursement) or Vendor Name ( if we need to pay an external party)
Your answer
Date of Expense
When was the expense incurred (should match receipt)
MM
/
DD
/
YYYY
Vendor
Name of the store/vendor where you spent $$
Your answer
Description of Expense
Describe what was purchased
Your answer
Expense Amount
One item for each receipt
Your answer
West School Program
Name the program (New parent reception, Teacher funds, etc.)
Your answer
Chairperson Name for Event, Committee or Program
Your answer
Comments
Anything else we should know?
Your answer
Do you certify that this is an approved expense item in the WPG budget and has been approved by the appropriate event/committee chair?
Phone
Your answer
E-mail
Your answer
Preferred contact method
Required
Outside Vendor Payment Address (if applicable)
Only if check is going to an external vendor. This is where the check will be mailed.
Your answer
Outside Vendor Contact Phone (if applicable)
Your answer
Outside Vendor Contact Name/Title (if applicable)
Your answer
Questions and comments
Your answer
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