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New Expense Request Form

This document is an expense voucher form for a committee or project. It collects information about the committee such as its name, chairperson, and signature. It also collects details about expenses including descriptions, costs, and a total amount requested. The treasurer section is for recording the reimbursement amount, date, check number, who it was disbursed to, and which account it came from.

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35 views

New Expense Request Form

This document is an expense voucher form for a committee or project. It collects information about the committee such as its name, chairperson, and signature. It also collects details about expenses including descriptions, costs, and a total amount requested. The treasurer section is for recording the reimbursement amount, date, check number, who it was disbursed to, and which account it came from.

Uploaded by

api-312092172
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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EXPENSE

VOUCHER FORM

COMMITTEE/PROJECT:

CHAIRPERSON:

CHAIRPERSON SIGNATURE:

CHAIRPERSON PHONE/EMAIL:

**The Committee Chairperson must sign and submit this form. If someone other than Committee Chairperson is to receive the
reimbursement check, please complete following section with the receivers information. Reimbursement check will be sent home with
the student unless other arrangements are made with the treasurer.
REIMBURSEMENT CHECK MADE OUT TO:
CHILD:

TEACHER:

Instructions:
1.
2.
3.
4.

This completed form must accompany all expense submissions.


Fully describe the expenses or services rendered.
Attach an itemized bill, receipt or invoice.
If item purchased is equipment or non-consumable materials (books, art prints, computer software, etc.) the
description should contain the location for the item so that a proper inventory of PTO equipment and
materials can be maintained.

DESCRIPTION:

COST:
$
$
$
$

DATE:

TOTAL AMOUNT REQUESTED:

For Treasurers Use Only


Amount Disbursed:
Date of Disbursement:
Check Number:
Disbursed To:
Account:
Revised 05/12

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