Approved Expense Reimbursement Request - Berkeley Public Schools Fund

Name of Requester*

Full name of person requesting reimbursement.

First Last

Email of Requester*

Email of of person requesting reimbursement.

Phone of Requester*

Phone of of person requesting reimbursement.

Amount requested*

Amount that you would like to be reimbursed for.

Payment Type*

PayPal is our strongly preferred method as it avoids issues with checks lost in the mail or uncashed. We can issue a check if the recipient cannot receive PayPal payments - checks can be mailed to the recipient or picked up in North Oakland (address to be provided if pickup is specified).

PayPal to recipient (choose this if possible)
Check (if recipient doesn't have PayPal)

Name of payee

If check is to be made out to someone other than the you, please provide the payee name. If left blank, check will be made out to your name.

First Middle Last

Address of Payee (check will be sent here)*

Street Address City State / Province / Region ZIP / Postal Code

PayPal Account @name, Email or Mobile Phone*

Payee must have or set up a PayPal account. We can send PayPal payment to either an email address or mobile phone number.

Email Address of Payee*

Phone Number of Payee*

Reason for payment*

Please describe what the reimbursement is for.

Who approved this expense?*

Name of person or program that gave you approval to request reimbursement for this expense.

Copy of receipt(s)

If you have a paper receipt, please scan or photograph and attach a copy here (filetypes accepted are jpg, gif, png, pdf). If you have a receipt in email, you can just forward the email to schoolsfund@berkeley.net.

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB.

Notes

Provide any additional information here.

Email

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