School Reimbursement Form
Name:
Home Address:
Administrator Approval:
This reimbursement request, accompanied with receipt, must be submitted to the office prior to payment. Sales tax will not be reimbursed. Obtain Form TC721-G from the financial secretary to purchase tax free.
If you are requesting reimbursement from more than one account, state how much from each fund.
**** Please attach receipts/invoices in the same order as listed . ***
X0535 X0550 X0594 X0610 X0630 X0641 X0644 X0673 X0730 Other Total
Postage Printing Admissions/ School Food Textbooks Other Books Technology Equipment (Please explain without
Registration Supplies Meant to be Magazines Supplies Items under what was
Sales Tax
Field Trips Used as consumed, this Newspapers Printer, toner, $200.00 purchased)
instructional includes drinks cartridges &
Date on Account/Fund items; crayons, of any kind other computer
Receipt/ (ex: Class, pencils, paper, supplies
Invoice Vendor Leglislative) etc.
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Account Totals $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
GRAND TOTAL TO BE REIMBURSED $0.00
School Reimbursement Form
Name:
Home Address:
Administrator Approval:
This reimbursement request, accompanied with receipt, must be submitted to the office prior to payment. Sales tax will not be reimbursed. Obtain Form TC721-G from the financial secretary to purchase tax free.
If you are requesting reimbursement from more than one account, state how much from each fund.
**** Please attach reciepts/invoices in the same order as listed . ***
X0535 X0550 X0594 X0610 X0630 X0641 X0644 X0673 X0730 Other Total
Postage Printing Admissions/ School Food Textbooks Other Books Technology Equipment (Please explain without
Registration Supplies Meant to be Magazines Supplies Items under what was
Sales Tax
Field Trips Used as consumed, this Newspapers Printer, toner, $200.00 purchased)
instructional includes drinks cartridges &
Date on Account/Fund items; crayons, of any kind other computer
Receipt/ (ex: Class, pencils, paper, supplies
Invoice Vendor Leglislative) etc.
Account Totals
GRAND TOTAL TO BE REIMBURSED