JB Watkins PTA Treasury
CHECK REQUEST FORM
This form is to be used for PTA expenses that need to be reimbursed. Attach supporting documentation
(ex. receipt, invoice, etc.) to check request before submitting. Remember to use the tax‐exempt letter
when making purchases for the PTA and sales tax will not be charged.
Please make an effort to:
Not combine personal expenses on receipts submitted for reimbursement.
Use a separate form for each expense line item.
** Once the check request form (with receipt) is complete, please email the Treasurer at
treasurer@jbwpta.com for reimbursement arrangements. **
Description of expense? (ex. Carnival ‐ Prizes, Wiggle ‐ Tablecloths, Staff Appreciation – Food, etc.)
_____________________________________________________________________________________
Check should be issued to (name): _______________________________________________________
Amount requested:
$______________________________________
Requested by
Name: _____________________________________________________________________________
Phone: _____________________________________________________________________________
Email: ______________________________________________________________________________
Date Submitted: _____________________________________________________________________
PLEASE DO NOT WRITE IN THIS SECTION – TO BE COMPLETED BY TREASURER
Funds Disbursed: $____________________________________ Check #: _____________
Account Debited: _____________________________________
Date: ________________
Entered into QuickBooks
Entered into checkbook
Entered into Excel
Board Member Approvals:
_________________________________________
_________________________________________
Revised 8/2016