PLRF Invoice Submission Form

PLRF Invoice Submission Form

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Use this form when submitting an invoice.

Activity Start Date*

Teacher*

Teachers are listed by program. You can select the teacher from the dropdown list, or find the teacher's using a text search - e.g.: to find the teacher 'Lisa Brown' you could type 'Lisa' or 'Brown'.

Teacher's Name

First Last

Teacher's Email

You're receive an auto-confirmation at this address

Purpose of invoice or receipt (what were the funds used for)*

Is this vendor registered with the school district?

Yes, they're on file

No, they're not on file

Unsure

Vendor Name:*

Vendor's Email Address:*

Invoice Amount:*

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

Drop files here or

Max. file size: 40 MB, Max. files: 10.

PLRF Invoice Submission Form

Navigate-NIDES – Mailing Address:

Navigate-NIDES – Phone / Fax: