ILC Receipt Submission Form

ILC Reimbursement Form

Please fill out the form below for accurate reimbursements. In order to guarantee your reimbursement, please submit a request within 7 days of the conclusion of your event. All reimbursement checks will be placed in the black box under the kiosk in the foyer marked "Reimbursements". Reimbursements will be available each Friday, unless circumstances require a delay. Thank you for submitting your reimbursement request.
Name *

First Name Last Name
E-mail *
example@example.com
Phone Number *
Please enter a valid phone number.
Event Name *

Youth Sunday School Building Maintenance Spanish Riverside West Covina Other
Expense Approved By *
Amount of Reimbursement *
Reason for purchase
Upload Receipt(s)

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ILC Reimbursement Form