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Instructions:

Please fill out completely with description of reimbursement.
Attach a file/picture/scan of each receipt or supporting documentation.
- Checks will not be provided without a receipt or supporting documentation.
A reimbursement check will be mailed to the address provided on your form (volunteers) or left in your box in the staff room (teachers and administrators) within 2 weeks.
If additional information is needed, our treasurer will reach out to you at the email address you provided on the form.
Questions? Please e-mail our treasurer at hopassistanttreasurer@gmail.com.


Reimbursement Information
Make check payable to:

Preferred Email Address


Address
What is your mailing address? (Enter N/A for staff as reimbursements will be left in your mailbox at Haynes)

Reimbursement Information
Grand total amount for reimbursement:

Expense #1
Vendor HOP Activity or Event Amount Brief description of items purchased Attach receipt

Expense #2
Vendor HOP Activity or Event Amount Brief description of items purchased Attach receipt

Expense #3
Vendor HOP Activity or Event Amount Brief description of items purchased Attach receipt

Expense #4
Vendor HOP Activity or Event Amount Brief description of items purchased Attach receipt

Expense #5
Vendor HOP Activity or Event Amount Brief description of items purchased Attach receipt