Pto Check Request Form

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PTO Check Request Form
Note: This form is to be used for expenses incurred for PTO activities – not for Teacher
Pin money. All Teacher Pin money requests must be on a separate form and forwarded to
the School’s Business Office.
Procedures:
 Fill out form below and attach all receipts. If expenses were incurred for more than one
PTO activity, please designate amounts for each activity.
 Have activity chairperson or PTO Chair approve expenses and sign form.
 Return this form to the PTO Treasurer by email or through the PTO mailbox at either
campus.
************************************************************************
Date of request: ________________
Amount requested: ___________________
Requested by: ____________________________________________________________
PTO activity for which expense was incurred: __________________________________
________________________________________________________________________
Make check payable to: __________________________________________________
Date check needed by: _______________________
Preferred check delivery method (e.g. mail to [address], send home with child, etc.):
________________________________________________________________________
________________________________________________________________________
Signature of chairperson/PTO Chair:
Amount paid
Check #
Date

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