If you prefer to download a physical form to fill out, click the button below. You’ll then need to get this form to Briar Glen. Please note: This is not an editable PDF.

For a quicker response, submit the reimbursement form below. Eric Sedlak, the Briar Glen PTC Treasurer, will receive your request and will begin the process.

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Your contact information

Your name*

Expense details

This reimbursement is for:*

Reimbursement details

Check payable to:*
Full address*
A check will be mailed to this address.
Receipt(s) totaling the amount of reimbursement or an invoice for check request must be attached. Sales tax will not be reimbursed, so please be diligent in using the Tax Exempt Status letter when purchasing items for the PTC.
You are allowed to upload jpg, gif, png, and pdf files only.
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Accepted file types: jpg, gif, png, pdf, Max. file size: 100 MB.