Check Request Form

CCE-Check-Request-Form.numbers.zip

CYPRESS COVE ELEMENTARY PTA

CHECK REQUEST OR REIMBURSEMENT FORM









Use a separate form for each payee. Receipt must ONLY contain reimbursable items.

Receipts, invoices, and/or other supporting documentation must be attached.









Make Check Payable:_______________________________________
















Date

Description of Expense/Budget Category

Amount Requested




















TOTAL:










Certification: The expenses listed above were incurred in connection with authorized PTA work and were not otherwise reimbursed to me.









PTA Board Member:_________________________ Date ___________
























(For Treasurer's Use Only)









Date

Check #

Acct#

Account

Amount