Staff Stipend Reimbursement Form

Staff stipends are provided as reimbursements for purchases made.

All forms must be submitted digitally. If you have supporting documents, receipts, or photos, please upload those to to this form or use a link from your google drive and share the link through this form.

Reimbursement checks will be mailed to the school (usually within 1-2 weeks) and made out to the individual named below.

Please contact us at treasurers@nixonpto.org or cochairs@nixonpto.org with any questions.

First name

Last name

Email Address

Amount requested

Please enter the purpose of the stipend

Pooled stipends

If this stipend is to be pooled with other staff member's stipends, please indicate their names here.

Receipts:

Please attach either a pdf or googledoc with the appropriate receipts.

Receipts:

Please attach either a pdf or googledoc with the appropriate receipts.