Reimbursement Request

Instructions:

Please fill out completely with description of reimbursement and breakdown of expenses.
Attach up to 3 files/pictures/scans of all receipts and supporting documentation.
A receipt of your submitted request will be e-mailed to you (please keep for your records).
The treasurers will e-mail you when your check is ready to be picked or has been mailed to you.
Questions? Please e-mail our treasurer at treasurer@pershingpto.org.

As always, please remember: As a sales tax exempt organization, we cannot reimburse sales tax, so please give all vendors a copy of our sales tax exemption form to avoid being charged sales tax when you make your purchase. You may request the tax exemption form by contacting our treasurer directly.

How would you like to receive your reimbursement?

Payee Information
Who should we make the payment to? (First & Last Name or Business Name) If payment request is via Zelle or PayPal please include that account information to prevent delay of reimbursement If requesting a check, please submit payee address: Total Amount Requested for Reimbursement/Payment:

Authorizing Board Rep
Who is the Executive Board Member approving this reimbursement? Description/Purpose:

Receipts
Attach Receipt/Invoice #1 Attach Receipt/Invoice #2 Attach Receipt/Invoice #3 Date Check Needed (please allow at least 1-2 weeks if possible):