Washington Elementary PTO Expense Reimbursement Form

Please review all your details before clicking on submit.

Note that the PTO cannot reimburse sales tax. There is a tax-exempt form available to use when making purchases (the form is available from your Committee Chair/ VP).
An itemized receipt must be included with your submission.
Must submit within 1 calendar year of the event date to be eligible for reimbursement.

For any questions or concerns, please reach out to the PTO Treasurer at treasurer@wesnjpto.com

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Submitter Information

Full Name (Required)

Email Address (Required)

Date of Event (MM/DD/YYYY) (Required)

Event Details/Committee (Required)

Reimbursement Amount (Required)

Note that the PTO cannot reimburse sales tax.

Check Payable To (Required)

Please provide who the check should be made payable too. If the check is for a vendor, please ensure you have their correct business name.

Mailing Address for Check (Required)

Attach Receipt 1

Please attach copy of your receipt.

Attach Receipt 2

Please attach a copy of your receipt

Attach Receipt 3

Please attach a copy of your receipt

Attach Receipt 4

Please attach a copy of your receipt

Attach Receipt 5

Please attach a copy of your receipt

I acknowledge that sales tax cannot be reimbursed by the PTO.

I acknowledge that this submission is within 1 year of the event date.

I have attached an itemized receipt to this form.