Denman PTSA Parent/Community Reimbursement Request Form

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TEACHERS/STAFF, please use this other form here. Parents and community members, please use this form to request a reimbursement check from the Denman PTSA. After submitting this form, continue to the next form where you can upload legible photos or PDFs of your receipts. Once receipts are received, we aim to issue checks within one week. Allow additional time if requesting for the check to be mailed or dropped off outside of school.

Name of Payee *

The person to write the check out to

Your Name, if Different from the Payee

If you are filling this out for someone else, please provide your name in case the treasurer has questions

Email *

For questions or notifications that the check is ready

Expenditure Was For: *

Include the program or initiative, such as First Day of School, Back to School Night, Bingo Night, Teacher Appreciation, supplies for Denman Pride Fund Campaign, etc.

Total Amount Requested for Reimbursement *

For fairness and due to our tight budget this year, amounts will be reimbursed up to the budgeted amount and not over. Example: budget was $100 and expenses with tax came out to $107.25. The reimbursement check would be for $100 only.

Explain Expenditures

If your receipts are complicated (e.g., you're being reimbursed for multiple categories like Cleanup Day refreshments AND Teacher Appreciation, or some items on your receipts are personal and not to be reimbursed), please clarify that for the treasurer.

However, if your receipt is simple (e.g., everything on your receipt is for one category), then write "n/a."

Check Delivery Method *

⭐️ OFFICE: your check will be left in the PTSA mail slot in the office.

DROP-OFF in mailbox or MEET-UP in person: available in the rough area shown in this map. Be sure to enter your address below. Near school is ideal.

MAIL: this is an option, but it can be slow due to USPS delays. Note that several checks have been lost in the mail, requiring a resend as well as stop payment check fee. Be sure to enter your address below.

Your Address

Provide your address only if you chose the drop-off/meet-up or mail option above.

Comments

Any details you'd like the treasurer to know

Next Step: Email Receipts

After you submit this form, follow the instructions to provide your receipts.

Thank you for all that you do for Denman Middle School and the PTSA!

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