Online Check/Reimbursement Request Form Date* Your Name* First Last Your Email* Charge Expense to this Committee*Select OneAngel FundBook FairBuy-A-BrickClassroom SupportCommunity ServiceCurr Support: EncoresCurr/Team Support: 6thCurr/Team Support: 7thCurr/Team Support: 8thDirectoryDistrict 181 FoundationEagle Café Spirit LunchesEagle Clubs & ActivitiesEagle Fund - PrincipalEagle MusicalsEvents Fund (Speakers)Graduation ExpenseHospitalityInsurance/AuditLandscapingLocker LaddersMedia Center SupportPizza WarsPhantom BallPTO OperatingSchool KitsSpirit ClubSpirit WearStaff Appreciation - Back to SchoolStaff Appreciation - Throughout YearTechnology (website,newsletters)Welcome CommitteeOther (please indicate in note section)Description of Expense*Please indicate if the check is needed by a certain date. Make Check Payable to:*Check Amount*Mail Check to:Note: For teacher reimbursements, please use CHMS address: 301 Chicago Avenue. If the check needs to be delivered or brought to an event, please indicate in the "Note" section below. Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Scan or photograph receipts/invoice and attach electronically here.*We cannot process payment without appropriate documentation. Accepted file types: jpg, gif, png, pdf. If you take a photo, please make sure the files size is not too large. Drop files here or Please put any notes to Treasurer here:PLEASE NOTE: For reimbursement, please submit expenses within 30 days of the event to the Treasurer. State and local tax will not be reimbursed, unless prior approval is obtained from the Treasurer – please be sure to use the CHMS PTO tax exempt letter for all purchases. PhoneThis field is for validation purposes and should be left unchanged.