AEP Receipt Report

AEP Receipt Report
Instructions:

(1) Please list each request you made individually, so we can track the specific expenditure.

(2) When uploading receipts, please make sure that the image is clear for all Parents Challenge approved items.

(3) If you have receipts that include other items, please highlight the Parents Challenge approved items.
Parent Name: *

First Name Last Name
Scholar Name: *

First Name Last Name
Scholar Name:

First Name Last Name
Amount Received: *
Date Check Was Issued: *

Month Day Year
Amount of Money not spent: *
If you have not spent the full amount, please put in how much is left. If no money is left, put 0. The money not spent can be kept and utilized for approved expenditures on the next AEP request.
How Monies were Spent: *
Please list the items purchased from receipt(s) with the amount spent (be specific).
Receipts: *

Upload a File
Please upload receipt for the item(s) listed above. Cancel of
Receipts:

Upload a File
Please upload receipt for the item(s) listed above. Cancel of
Should be Empty: