Hill PTA Reimbursement Form

If you would rather submit a paper form you can download it here

Name*
Email Address*
Telephone Number*
Date of Request*
Date check needed*
Make check payable to*
Account to be debited*
If you don't know what account to charge, describe what the purchase is for
Itemized Requests
If your invoice reflects more than one account, please identify each and the amount that should be deducted from each. Remember to use the sales tax exemption certificate when purchasing items for PTA use. SALES TAX WILL NOT BE REIMBURSED
Item Place of Purchase Amount Total
Remarks
Attach receipt(s)
Drop files here or

Accepted file types: jpg, gif, png, pdf.

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