Reimbursement Form

Reimbursement FORM

Fill out this form and attach your receipt - your reimbursement will be mailed to you. For questions email ormpto@pvpto.com or cmspto@pvpto.com with any questions.

PTO Reimbursement and/or Donation Form

* Indicates required field

Date *

Event/Committee: *

Name: *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

A. For Reimbursement. Please choose payment method:

Select One *

Total Expense: $ *

Expense Detail *

Upload Receipt (attach file or photo of receipt) *

Max file size: 20MB

B. For Donation:

Total Donation: $ *

YES *

YES - donate this amount to PV PTO

Yes, I would like to donate the above amount to the PTO. Please send me a letter for my tax records for the above amount. The PTO Treasurer collects this information to use as a budgeting tool for the next year.

Name *

First

Last

NOTE: Expenses above $100 cannot be reimbursed without receipts and all reimbursements for the school year MUST be submitted within 60 days of the event and before the final day of school.

SUBMIT