2017 – 2018 ROOSEVELT PTO

EXPENSE REIMBURSEMENT REQUEST FORM

INSTRUCTIONS

In order to receive reimbursements from the Roosevelt Treasurer for PTO sponsored events, please review the following instructions:

  1. Before making any purchase, please download the Roosevelt PTO Tax Exemption Form from the PTO website. This Tax Exemption Form should be presented to the vendor before you pay for any purchases or services. As a non-profit, PTO purchases are not subject to tax. The Roosevelt PTO will not reimburse sales tax.
  1. Please submit your original receipts with the Expense Reimbursement Request Form. Make copies of receipts for your personal records in the event of misplacement. Payments cannot be made without original receipts.
  1. Complete all fields on the Expense Reimbursement Request Form. You will find this form attached to these instructions and on the PTO website.
  1. Make a copy of the reimbursement request form for your personal records.
  1. You may submit your reimbursement request one of three ways:

1. PTO box in the Roosevelt office

2. Deliver to mailbox of Karen Larson (243 Imperial Street)

3. Scan all documents and send via email to

  1. If convenient, send confirmation email of request to
  1. Payment will be made via electronic check sent by Chase Bank. If a physical check is preferred, please indicate this in the Special Notes section on the form. If you would like to be paid using Chase Bank QuickPay, please indicate this on the reimbursement form.
  1. The PTO Treasurer will make payments within 15 business days of receipt. Please submit all receipts within 30 – 45 days of when the expense was incurred. All expenses should be submitted within 30 days of the completion of the event.
  1. If you have any questions about this process, please contact the PTO Treasurer Karen Larson at .

2017 – 2018 ROOSEVELT PTO

EXPENSE REIMBURSEMENT REQUEST FORM

SUBMITTED BY:

EMAIL:

PHONE #:

COMMITTEE/EVENT:

EXPENSES INCURRED:

DATE ITEM/DESCRIPTION AMOUNT

REIMBURSEMENT REQUEST TOTAL:

MAKE CHECK PAYABLE TO:

ADDRESS:

SPECIAL NOTES:

CHASE QUICKPAY ID:

SUBMIT THIS FORM WITH

ORGINIAL RECEIPTS TO PTO TREASURER:Karen Larson

243 Imperial Street

Park Ridge, IL 60068

(FOR TREASURER USE) CHECK # ______DATED: ______

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