RECEIPT SUBMISSION FORM
For the submission of receipts for reimbursement, receipts for purchases on the church credit card, or receipts for contribution credit.
Today's Date
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Your First and Last Name
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Your e-mail
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example@example.com
Department
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Are you the department head for this purchase?
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Yes
No
Provide the department head e-mail below:
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example@example.com
Provide a detailed purpose for this expenditure (include the event name, what types of things are being purchased, etc.).
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This should provide sufficient detail to clearly understand what this reimbursement is for.
CHECK ONLY ONE CATEGORY PER FORM. All receipts for one category may be submitted with one form. Ex: Submit all Reimbursement receipts with one form, all CC receipts with one form, etc.
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Reimbursement
Contribution
Church Credit Card Receipts
If receipts are for multiple departments, list each department and the total per dept. separately in this box.
Ex: Youth 10.00 Sunday School 30.00 Quiz Jr 22.00
Add the dollar amount of ALL receipts and put the combined total here.
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Attach receipts here. Multiple receipts may be attached.
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Browse Files
Drag and drop files here
Choose a file
PDF is preferred. Use a scan to PDF app like Adobe Scan to do this easily from your phone.
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