Scout Account Reimbursement Form

Scouts Name ____________________

Reimbursement for: Scout Store Purchase Summer Camp Dues

Boy’s Life Camping Field Trip Other

Other: ________________________________________________________________

Amount of Reimbursement: _________________

Parent/Guardians signature below indicates that the undersigned has read and understands the Policy regarding Scout Accounts for Pack 72.

Parents/Guardian Signature ____________________________

Committee Action:

Scout account contains the proper funds for reimbursement

$____________ Amount of available funds in the Scout’s Account

Approved by the Pack 72 Committee

Partial approval by the Pack 72 Committee

List of approved Items: ________________________________________

List of un-approved Items: ______________________________________

Reason Items not approved: _____________________________________

Not approved by the Pack 72 Committee

Reason for rejection ___________________________________________

___________________________________________

Approved Amount of Reimbursement: _________________

Signatures below indicate approval of the purchase and that the Scouts Account hold the necessary funds for reimbursement.

Committee Chairman/Committee Member Signature _________________________

Scout Account Managers Signature____________________________

Parent/Guardian signature below indicates receipt of the approved amount listed above.

Parents/Guardian Signature ____________________________