WEST Expense Request Form

Submitted by:
Date:	---- 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 / ---- January February March April May June July August September October November December / ---- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 ---- 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 : ---- 00 05 10 15 20 25 30 35 40 45 50 55
Name of project, lesson or field trip:
Brief description of project, lesson or field trip:
List materials for purchase with approximate costs:
Total amount requested:	$

In order to insure reimbursement, have your purchase approved by Holly 1-2 days in advance. YOU MUST TURN IN YOUR RECEIPTS TO MISSY GROW TO RECEIVE REIMBURSEMENT.

For larger purchases (or any size purchases for that matter) you may want to request a PO or check in advance so that the money doesn�t have to first come out of your pocket. Contact Missy Grow to make the arrangements.

See the WEST Expense Request Guidelines for more information.