Report a Pcard Purchase

NOTE: Each receipt must be submitted separately.

* indicates required fields.

1. Name of Purchaser *

2. Purchase Date *

3. Purchase Amount *

4. Merchant Name *

5. Business Purpose *

6. Participants (if food-related) *

9. Please provide employee ID number *

10. STAP Fund Balance (please verify balance in Axess)

11. Amount of STAP Funds to be applied *

12. Upload Receipt ( 1 receipt per request) *

13. PTA ______________________Expenditure Type____________

14. Email address *

Please skip. Do not fill this out.

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