Parent Volunteer Association (PVA)

Disbursement/Reimbursement Check Request Form


  • Reimbursement requests should be submitted within 30 days of close of an event.

  • Original itemized receipt(s) or the packaging slip & invoice must be attached.

  • Receipts must be for the current school year.

Submission Options:

  1. Fill out form below and scan receipts to Maria Hadjisimos.

  2. Email completed form plus scan receipts to Maria Hadjisimos.

  3. Drop off completed forms at school office with receipts.

  4. Mail competed form & Original receipts to Maria Hadjisimos, PVA Treasure. Please email Maria Hadjisimos for address.

Name *
Date Submitted *
Date Submitted
Phone *
Please send check to *
Please send check to
provide address

If you have any questions or need to request a rush check please email Maria Hadjisimos.