Reimbursement Form


1) Obtain Pastor approval and signature for amounts above $1,000 or for non-budgeted items before submitting

2) Because of difficulty in processing overdue reimbursements in the past, please provide the date of the event and make sure this form is submitted within 30 days of the event

3) Name your receipts in the following format: name-date-item.filetype (ex. john_doe-9/18/18-christmas_party_food.png) and click the link below to upload it to our dropbox:


4) If you have multiple items, submit the form for one item and there will be a link to refresh the page to fill out another.

5) Approved reimbursement checks will be mailed to the address provided.

Name (Check Payable To) *
Name (Check Payable To)
Include Street, City, State, Zip Code. Please make sure this is the correct full address because the reimbursement check will be mailed here
Purchase date *
Purchase date
Ministry *