Living Faith Community Church
Reimbursement Request
Please obtain approval from your ministry leader prior to making any purchases for which the church will be financially responsible.
Date of Request
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Requested by:
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Purpose:
Ministry:
BLAST (children)
YLIVE (youth)
Rejoicing
Refining
Relating
Reaching
Responding
ADMIN
BUILDING
Other
Purchases:
Rows
Vendor
Purchase Description
Amount Spent
1
2
3
4
5
6
7
8
9
10
Purchase[s]
Total Amount
Total Spent:
Check made payable to:
If you are submitting receipts for accounting purposes only and no refund is needed type N/A in the text field.
Please attach receipts or proof of payment
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of
Signature:
By typing your full name, you are confirming all information in correct.
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