Reimbursement/Check Request Form
Please fill out the form and press submit.
Up to three files can be uploaded per form.
Date of Request
*
Type of Request
*
Please select one option.
Reimbursement
Payment/Check Request (not Reimbursement
Amount of Request
*
Please select the account for this request from the dropdown:
*
Please select one option.
300 Foundation Kids
301 VBS
302 Foundation Youth
303 Foundation Worship
304 Adult Ed/Disciple Groups
305 Greeters & Ushers
306 Short Term Missions Training
307 Benevolence
320 Foundation Women
321 Women's Retreat
322 Celebrate Recovery
323 Foundation Men
324 Foundation Seniors
325 Foundation Missions
326 MomCo
327 Kairos Ministry
340 Overseas Mission Support
344 Preaching Team
360 Leader Development
361 Pastoral Health Fund
380 Designated Gift/Support
384 Special Offering
385 Fellowship/Visitation Ministry
500 Wages
514 Janitorial Expenses
515 Building R&M
516 Grounds R&M
517 Equipment Purchase
525 Office Supplies/Admin
526 Postage
527 Advertising
528 Sunday Service Supplies
534 Sunday Fellowship Supplies
537 Church Celebrations/Holidays
Other (Please indicate in Notes)
Select Option
300 Foundation Kids
301 VBS
302 Foundation Youth
303 Foundation Worship
304 Adult Ed/Disciple Groups
305 Greeters & Ushers
306 Short Term Missions Training
307 Benevolence
320 Foundation Women
321 Women's Retreat
322 Celebrate Recovery
323 Foundation Men
324 Foundation Seniors
325 Foundation Missions
326 MomCo
327 Kairos Ministry
340 Overseas Mission Support
344 Preaching Team
360 Leader Development
361 Pastoral Health Fund
380 Designated Gift/Support
384 Special Offering
385 Fellowship/Visitation Ministry
500 Wages
514 Janitorial Expenses
515 Building R&M
516 Grounds R&M
517 Equipment Purchase
525 Office Supplies/Admin
526 Postage
527 Advertising
528 Sunday Service Supplies
534 Sunday Fellowship Supplies
537 Church Celebrations/Holidays
Other (Please indicate in Notes)
Notes:
Upload Receipts
Upload (8MB)
continued... receipts
Upload (8MB)
continued... receipts
Upload (8MB)
To whom should this payment be made?
*
If we are to mail a check, what is the address?
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Reason for Request
*
Name of Approving Ministry Leader/Elder
*
Name of person completing the form
*
Email
This address will receive a confirmation email
Submit
Description
Please fill out the form and press submit.
Up to three files can be uploaded per form.
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