Expense Request Form

Expense Request Form
Requestee's Information
Today's Date

MonthDayYear
Date
Name of Person Requesting Funds

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Expense Information
Date of Event

MonthDayYear
Date
Class (Department/Ministry)
Expense Account
Location
Only use if a staff member has given you a specific location to use
Upload Receipt

Cancelof
Amount Requested
Description for Requested Funds
Be as detailed as possible. We currently offer childcare at $15/hour.
Person or Company Receiving the Funds
How would they like to receive their funds? (All payments are sent out by the Thursday following your event)
Person/Company Address
Be sure to include Street Address, City, State and Zip Code
Venmo Handle @ blanks*
Zelle Phone Number/Username
All requests are subject to approval by our Pastor over finances. If approved, all funds are issued by the Thursday following the event.
Should be Empty:

Requestee's Information