LPTO Cash Disbursement Form

(for LISD Staff use only)

Please complete this form for reimbursement. Make sure to upload all applicable documents, via the pink “Upload Here” Dropbox button. If you would prefer the paper copy, please download it here and turn in to your campus office.

Must be a PTO member to apply
Funds are not transferable between staff
Tax cannot be reimbursed
Can be turned in throughout the school year; Deadline: Friday, May 10, 2024
Please remember to submit:
- Receipt(s) for reimbursement
- Invoice(s) for vendors
- Proposal for fund request

Contact ptolondon@gmail.com with any questions.

Name

First Name

Last Name

Email

Position

Add Grade Level if applicable

Phone

(###)

###

####

Reimbursement Options

Please submit your applicable RECEIPT(S), or INVOICE, or PROPOSAL via the "Upload Here" button below

Reimburse Me

Address check to vendor

UPLOAD YOUR RECIEPTS HERE

Make check payable to:

Itemize your expense(s):

Vendor / Description / Committee or Function / Amount) (Please list each expense on its own line.)

Total Amount of expense(s)

*Please do not include sales tax

$