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.
Email Address*
example@example.com
Expense Information
Date of Event*

MonthDayYear
Date
Class (Department/Ministry)*
Expense Account*
I Need to Input a Specific Expense Location (Mainly for Staff Use)
Location*
Only use if a staff member has given you a specific location to use
This is a Reimbursment
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)*

Check (Allow for mailing time)Venmo (Must provide Handle, Instant)Zelle Transfer (Must provide Phone Number or Username Associated with Account, Instant)
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