ESA Forms

Please submit all completed forms to [email protected]

 

Expense Report Forms

Note: It is highly recommended to use the electronic expense reporting system for submitting expense reports. Learn more at our Expense Portal page: https://esa.azed.gov/Home.

*ESA Online Application and ESA Applicant Portal are better viewed in Google Chrome, Microsoft Edge and IE11 web browser.

If you are unable to complete an expense report through the online portal, paper expense reports should be submitted to [email protected], or mailed to: Arizona Department of Education Attn: ESA 1535 W. Jefferson Street Bin #41 Phoenix, Arizona 85007

There are three kinds of expense reports:

There is no “wrong” expense report, however completing the expense report that properly suits your needs will result in a shorter form. Please create a new expense entry (with attached receipt) for each time the ESA card is used.

Need more Space?

Print and complete the appropriate addendum sheet for adding more line items: