Bms Pto Request Form

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BMS PTO Request Form
Date: _____________
Requested By: __________________________________
Amount Requested: ______________
Purpose of Request: _____________________________________________________
Benefits/Impact of Request (include who & how many): _________________________
______________________________________________________________________
______________________________________________________________________
Principal Approval: ___
Approved Amount: __________
Principal Denial:
___
Reason for Denial: ______________________________________________________
______________________________________________________________________
Principal Signature: __________________________ Date: ________
If approved by principal, please forward to PTO Mailbox.
PTO Approval: ___
Approved Amount: __________
PTO Denial:
___
Reason for Denial: ______________________________________________________
______________________________________________________________________
Allocations Chair: ___________________________ Date: _________
PTO President: _____________________________ Date: _________
*Note: Please allow 30 days for a response. If your request is for $500 or more, and approved
by the Allocations Committee, you will need to attend the next PTO Meeting for a general vote.

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