Specials Teacher Allocation Reimbursement

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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.

Date *

YYYY

Graebner Staff Member (First and last name) *

Email Address *

Department/Grade Level *

Amount requested: *

Reason for reimbursement (check all that apply) *

Classroom supplies (paper, pens, crayons, glue, wall decorations, office supplies, student snacks, KEYS ticket prizes, etc

Software for classroom use

Reference Materials (Media Center, subscriptions, etc)

Other (Please describe below how purchase benefits Graebner students)

Specialized Gym, Art or Music Supplies

Required

Other reimbursement description

Receipt 1 (amount, store name, description of items) *

Receipt 2 (amount, store name, description of items)

Receipt 3 (amount, store name, description of items)

Receipt 4 (amount, store name, description of items

If no receipts, please explain

Who should the check or online payment to made to?

How do we get you your reimbursement check to you? *

Leave in Graebner office

Mail

If mailing, where do we mail the check to? *

By checking this box, I am signing this document. *

The information in this form, is accurate to the best of my ability and I have followed all the requirements for reimbursement.

Any other Regularly-Assigned Teacher/Long-term Substitute within your special that you are submitting this form in collaboration with.

Submit

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