Reimbursement Form

Instructions:

1) Please submit form within 30 days of purchase or event.

2) Name your receipts in the following format: name-date-item.filetype (ex. john_doe-9/18/18-christmas_party_food.png) when you upload files.

3) If you have multiple items, enter the first item and submit. A link will appear to continue to submit another item.

4) If reimbursement about $1,000 or non-budgeted items, obtain Pastor approval and signature before submitting

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

Name (Check Payable To) *
Name (Check Payable To)
Phone Number *
Phone Number
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 *
$