Teacher/Staff Reimbursement – Bradley Home & School Club

Name *

First

Last

Email *

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Classroom/Grade (What Classroom and what grade level or department do you teach i.e: 4th grade or Art, Dance PE, etc.) *

What Budget Item Does You Reimbursement Request Fall Under *

UPLOAD RECIEPTS HERE (REQUIRED) *

Drag & Drop Files, Choose Files to Upload You can upload up to 30 files.

HERE UPLOAD or

What Was Your Purchase Used For *

Total Amount Seeking To Be Reimbursed? *

How Would You Like Your Reimbursement? *

If You Chose ACH Deposit Please Enter Your Routing Number and Checking Account Number Here:

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