NLE PTA Reimbursement Request Form

Please note that you must have an invoice or receipt to request a check. Requests will automatically be sent to the Treasurer for processing. If you need assistance, please contact the Treasurer at treasurer@northlakepta.com.

Instructions:

Fill out the form completely with description of reimbursement and breakdown of expenses.
Attach a file/picture/scan of each receipt or supporting documentation.
A receipt of your submitted request will be e-mailed to you (please keep for your records).
The treasurers will e-mail you when your check is ready to be picked up at the school or has been mailed to you.

Please remember: As a sales tax exempt organization, we cannot reimburse sales tax, so please give all vendors a copy of our sales tax exemption form to avoid being charged sales tax when you make your purchase.

Helpful Link: State Sales Tax and Use Exemption Certificate


Reimbursement Information
Make check payable to: Request Type* Select PTA Budget Line* Grand total amount for reimbursement: Would you like to pick up the check or have it mailed to your home (the address on your contact record)? (reset) Pick up check from school Receive check in mail Zelle to my account (include email or number)

Expense #1
Vendor Expense category* Amount Brief description of items purchased Attach receipt

Expense #2
Vendor Expense category Amount Brief description of items purchased Attach receipt

Expense #3
Vendor Expense category Amount Brief description of items purchased Attach receipt

Expense #4
Vendor Expense category Amount Brief description of items purchased Attach receipt

Expense #5
Vendor Expense category Amount Brief description of items purchased Attach receipt