Employee Reimbursement Cheque Request

"*" indicates required fields

Use this form for all P-Card purchases.

Please Note: One credit card transaction per form.

Name*

First Last

Teacher's Email*

You'll receive an email confirmation at this address. Please ensure this is the correct email address.

Supplier*

Currency*

Canadian Dollar (CAD)

American Dollar (USD)

Dollar Amount*

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Dollar Amount

Purpose*

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Purpose

Please upload a scan of the receipt and mail in the original.

Please upload image(s) of the receipt - multiple files can be uploaded:*

Drop files here or

Max. file size: 20 MB.

Employee Signature*

P-Card Reconciliation Form