TXM Expense Reimbursement Form

Expense Reimbursement

of personal expense on behalf of Texas Ministries
Please select the expense category to be charged:*

General ExpenseBoard of MinistriesChurch PlantCredentials CommitteeNominating TeamRegional GatheringRecalibrate (Annual Assembly)Other
Date of Activity*

MonthDayYear
Date
If you traveled by personal auto, please enter you total mileage in the PERSONAL AUTO MILEAGE box below. The reimbursed mileage amount accounts for fuel, oil, tolls, vehicle insurance, and depreciation.

When you type your mileage into the PERSONAL AUTO MILEAGE box, the reimbursment amount will auto-populate in the expenses chart below.
Personal Auto Mileage
ENTER MILEAGE AS A WHOLE NUMBER (NO DECIMALS).
Expenses Chart

Enter all other (non-mileage related) expenses into the chart below. Receipts are required for reimbursement. *

	$ Amount
Fare (Plane, Bus, Train)
Lodging
Meals
Parking
Tolls (Car Rental Only)
Taxi
Rental Car
Other
Auto Mileage Reimbursement @ $0.67 per mile (auto-calculated)

Total Expenses (Auto-Calculated from chart)
If you listed an expense in the "Other" category, please provide details in the box below.

Expense Reimbursement

of personal expense on behalf of Texas Ministries
Receipts

To receive reimbursement, you will need to submit business expense receipts by uploading your receipts using this form or mailing them to Texas Ministries. Please note that mailing in your receipts will delay reimbursement.
I will submit my receipts by:*

I will upload all of my receipts.I will mail all of my receipts using US mail.
Upload Receipts

Cancelof
Mail Receipts

If you prefer to process your business receipts by US Mail, please send the receipts to:

Texas Ministries of the Church of God
Attn: Reimbursments
PO Box 131805
Spring, TX 77393
Should be Empty: