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Teacher Allocation Reimbursement
Reimbursement will be via check and should be available within a week. Please remember to turn in Original Receipts in GPTO mailbox prior to reimbursement. Please note that you also have the option to email your scanned or photographed receipt to
gptoboard@gmail.com
during this time.
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Date
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MM
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YYYY
Graebner Staff Member (First and last name)
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Your answer
Email Address
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Your answer
Department/Grade Level
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Your answer
Amount requested:
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Your answer
Reason for reimbursement (check all that apply)
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Classroom supplies (paper, pens, crayons, glue, wall decorations, office supplies, student snacks, KEYS ticket prizes, etc
Software for classroom use
Reference Materials (Teachers Pay Teachers, subscriptions, etc)
Other (Please describe below how purchase benefits Graebner students)
Required
Other reimbursement description
Your answer
Receipt 1 (amount, store name, description of items)
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Your answer
Receipt 2 (amount, store name, description of items)
Your answer
Receipt 3 (amount, store name, description of items)
Your answer
Receipt 4 (amount, store name, description of items
Your answer
If no receipts, please explain
Your answer
Who should the check or online payment to made to?
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How do we get you your reimbursement check to you?
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Leave in Graebner office
Mail
If mailing, where do we mail the check to?
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Your answer
By checking this box, I am signing this document.
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The information in this form, is accurate to the best of my ability and I have followed all the requirements for reimbursement.
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