Expense Reimbursement Request
Delivery Method
*
Please Select
ACH Payment
Check from Bank
Have you submitted your ACH informaiton to the Administrative Office?
Yes
No
Company Name or Individual's Full Name (First & Last)
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Email
*
1- Ministry/Cost Center
*
Please Select
Administration (511)
Congregational (512)
Childrens Ministry (513)
Youth & Family Ministry (515)
Campus Ministry (516)
Creative Arts Ministry (521)
Sports Ministry (521)
Communities (521)
Missions (522)
Buildings & Grounds (523)
1- Ministry Expense Type
*
Please Select
Training & Development (510)
Honoraria (Non-employee) (520)
Travel/Conferences (530)
Local Meals/Food (540)
Professional Fees (560)
Supplies (580)
Facility Rental/Outside Services (620)
Special Events (630)
Gifts and Flowers (640)
Teaching Materials (650)
Miscellaneous (660)
1- Sports Ministry Expense Type
*
Please Select
Special Events (701)
1- Congregational Expense Type
*
Please Select
Training & Development (510)
Honorarium (520)
Travel/Conferences (530)
Local Meals/Food (540)
Recruitment/Moving (550)
Professional Fees (560)
Supplies (580)
Facility Rental/Outside Services (620)
Special Events (630)
Gifts and Flowers (640)
Teaching Materials (650)
Miscellaneous (660)
1- Administration Expense Type
*
Please Select
Professional Fees-Admin (120)
Subscriptions/Licenses (130)
Bank Fees (140)
Postage/Shipping (180)
Printing/Copying (190)
Training and Development (210)
Equipment-General (220)
Travel/Conferences (230)
Miscellaneous (240)
Office Supplies (280)
1- Missions Expense Type
*
Please Select
International Missions (100)
Africa Missions (101)
European Missions (103)
Int'l Missions Others (105)
Caribbean Missions (106)
Missions Trip Expenses (600)
Local Missions (200)
Southeast Missions (300)
1- Buildings & Grounds Expense Type
*
Please Select
Alarm Monitoring (110)
Fines & Fees (115)
Cable Internet Service (120)
Natural Gas (130)
Power, Water & Associated Exp (140)
Waste Disposal (150)
Cleaning Services (210)
Landscape Maintenance (220)
Security Services (230)
Equipment Maintenance & Repair (310)
Building Maintenance & Repair (340)
Bldg & Grounds - Miscellaneous (420)
Building Technology & Capital Exp (430)
Building & IT Professional Fees (440)
1- Communities Expense Type
*
Please Select
The Battery (712)
East Cobb (703)
East (704)
Intown (700)
Northwest (706)
Marietta Square (707)
North Marietta (708)
South (709)
West Cobb (710)
1- What was the expense?
*
1- Where was the expense?
*
1- What was the date and business/ministry purpose for this expense?
*
1- When did you incur this expense?
*
/
Month
/
Day
Year
1- Number of People in Attendance?
*
If more than 12 people, you can list the number of participants. If under 12 people, please list all names.
1- Expense Amount
*
1- Receipt?
*
Please Select
Yes
No
Lost
1- Provide Explanation:
*
Attach Receipt 1
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
2- Ministry/Cost Center
Please Select
Administration (511)
Congregational (512)
Childrens Ministry (513)
Youth & Family Ministry (515)
Campus Ministry (516)
Creative Arts Ministry (521)
Sports Ministry (521)
Communities (521)
Missions (522)
Buildings & Grounds (523)
2- Ministry Expense Type
Please Select
Training & Development (510)
Honoraria (Non-employee) (520)
Travel/Conferences (530)
Local Meals/Food (540)
Professional Fees (560)
Supplies (580)
Facility Rental/Outside Services (620)
Special Events (630)
Gifts and Flowers (640)
Teaching Materials (650)
Miscellaneous (660)
2- Sports Ministry Expense Type
Please Select
Special Events (701)
2- Congregational Expense Type
Please Select
Training & Development (510)
Honorarium (520)
Travel/Conferences (530)
Local Meals/Food (540)
Recruitment/Moving (550)
Professional Fees (560)
Supplies (580)
Facility Rental/Outside Services (620)
Special Events (630)
Gifts and Flowers (640)
Teaching Materials (650)
Miscellaneous (660)
2- Administration Expense Type
Please Select
Professional Fees-Admin (120)
Subscriptions/Licenses (130)
Bank Fees (140)
Postage/Shipping (180)
Printing/Copying (190)
Training and Development (210)
Equipment-General (220)
Travel/Conferences (230)
Miscellaneous (240)
Office Supplies (280)
2- Missions Expense Type
Please Select
International Missions (100)
Africa Missions (101)
European Missions (103)
Int'l Missions Others (105)
Caribbean Missions (106)
Missions Trip Expenses (600)
Local Missions (200)
Southeast Missions (300)
2- Buildings & Grounds Expense Type
Please Select
Alarm Monitoring (110)
Fines & Fees (115)
Cable Internet Service (120)
Natural Gas (130)
Power, Water & Associated Exp (140)
Waste Disposal (150)
Cleaning Services (210)
Landscape Maintenance (220)
Security Services (230)
Equipment Maintenance & Repair (310)
Building Maintenance & Repair (340)
Bldg & Grounds - Miscellaneous (420)
Building Technology & Capital Exp (430)
Building & IT Professional Fees (440)
2- Communities Expense Type
Please Select
The Battery (712)
East Cobb (703)
East (704)
Intown (700)
Northwest (706)
Marietta Square (707)
North Marietta (708)
South (709)
West Cobb (710)
2- What was the expense?
*
2- Where was the expense?
*
2- What was the date and business/ministry purpose for this expense?
*
2- When did you incur this expense?
*
/
Month
/
Day
Year
2- Number of People in Attendance?
*
If more than 12 people, you can list the number of participants. If under 12 people, please list all names.
2- Expense Amount
*
2- Receipt?
*
Please Select
Yes
No
Lost
2- Provide Explanation:
*
Attach Receipt 2
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
3- Ministry/Cost Center
Please Select
Administration (511)
Congregational (512)
Childrens Ministry (513)
Youth & Family Ministry (515)
Campus Ministry (516)
Creative Arts Ministry (521)
Sports Ministry (521)
Communities (521)
Missions (522)
Buildings & Grounds (523)
3- Ministry Expense Type
Please Select
Training & Development (510)
Honoraria (Non-employee) (520)
Travel/Conferences (530)
Local Meals/Food (540)
Professional Fees (560)
Supplies (580)
Facility Rental/Outside Services (620)
Special Events (630)
Gifts and Flowers (640)
Teaching Materials (650)
Miscellaneous (660)
3- Sports Ministry Expense Type
Please Select
Special Events (701)
3- Congregational Expense Type
Please Select
Training & Development (510)
Honorarium (520)
Travel/Conferences (530)
Local Meals/Food (540)
Recruitment/Moving (550)
Professional Fees (560)
Supplies (580)
Facility Rental/Outside Services (620)
Special Events (630)
Gifts and Flowers (640)
Teaching Materials (650)
Miscellaneous (660)
3- Administration Expense Type
Please Select
Professional Fees-Admin (120)
Subscriptions/Licenses (130)
Bank Fees (140)
Postage/Shipping (180)
Printing/Copying (190)
Training and Development (210)
Equipment-General (220)
Travel/Conferences (230)
Miscellaneous (240)
Office Supplies (280)
3- Missions Expense Type
Please Select
International Missions (100)
Africa Missions (101)
European Missions (103)
Int'l Missions Others (105)
Caribbean Missions (106)
Missions Trip Expenses (600)
Local Missions (200)
Southeast Missions (300)
3- Buildings & Grounds Expense Type
Please Select
Alarm Monitoring (110)
Fines & Fees (115)
Cable Internet Service (120)
Natural Gas (130)
Power, Water & Associated Exp (140)
Waste Disposal (150)
Cleaning Services (210)
Landscape Maintenance (220)
Security Services (230)
Equipment Maintenance & Repair (310)
Building Maintenance & Repair (340)
Bldg & Grounds - Miscellaneous (420)
Building Technology & Capital Exp (430)
Building & IT Professional Fees (440)
3- Communities Expense Type
Please Select
The Battery (712)
East Cobb (703)
East (704)
Intown (700)
Northwest (706)
Marietta Square (707)
North Marietta (708)
South (709)
West Cobb (710)
3- What was the expense?
*
3- Where was the expense?
*
3- What was the date and business/ministry purpose for this expense?
*
3- When did you incur this expense?
*
/
Month
/
Day
Year
3- Number of People in Attendance?
*
If more than 12 people, you can list the number of participants. If under 12 people, please list all names.
3- Expense Amount
*
3- Receipt?
*
Please Select
Yes
No
Lost
3- Provide Explanation:
*
Attach Receipt 3
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
4- Ministry/Cost Center
Please Select
Administration (511)
Congregational (512)
Childrens Ministry (513)
Youth & Family Ministry (515)
Campus Ministry (516)
Creative Arts Ministry (521)
Sports Ministry (521)
Communities (521)
Missions (522)
Buildings & Grounds (523)
4- Ministry Expense Type
Please Select
Training & Development (510)
Honoraria (Non-employee) (520)
Travel/Conferences (530)
Local Meals/Food (540)
Professional Fees (560)
Supplies (580)
Facility Rental/Outside Services (620)
Special Events (630)
Gifts and Flowers (640)
Teaching Materials (650)
Miscellaneous (660)
4- Sports Ministry Expense Type
Please Select
Special Events (701)
4- Congregational Expense Type
Please Select
Training & Development (510)
Honorarium (520)
Travel/Conferences (530)
Local Meals/Food (540)
Recruitment/Moving (550)
Professional Fees (560)
Supplies (580)
Facility Rental/Outside Services (620)
Special Events (630)
Gifts and Flowers (640)
Teaching Materials (650)
Miscellaneous (660)
4- Administration Expense Type
Please Select
Professional Fees-Admin (120)
Subscriptions/Licenses (130)
Bank Fees (140)
Postage/Shipping (180)
Printing/Copying (190)
Training and Development (210)
Equipment-General (220)
Travel/Conferences (230)
Miscellaneous (240)
Office Supplies (280)
4- Missions Expense Type
Please Select
International Missions (100)
Africa Missions (101)
European Missions (103)
Int'l Missions Others (105)
Caribbean Missions (106)
Missions Trip Expenses (600)
Local Missions (200)
Southeast Missions (300)
4- Buildings & Grounds Expense Type
Please Select
Alarm Monitoring (110)
Fines & Fees (115)
Cable Internet Service (120)
Natural Gas (130)
Power, Water & Associated Exp (140)
Waste Disposal (150)
Cleaning Services (210)
Landscape Maintenance (220)
Security Services (230)
Equipment Maintenance & Repair (310)
Building Maintenance & Repair (340)
Bldg & Grounds - Miscellaneous (420)
Building Technology & Capital Exp (430)
Building & IT Professional Fees (440)
4- Communities Expense Type
Please Select
The Battery (712)
East Cobb (703)
East (704)
Intown (700)
Northwest (706)
Marietta Square (707)
North Marietta (708)
South (709)
West Cobb (710)
4- What was the expense?
*
4- Where was the expense?
*
4- What was the date and business/ministry purpose for this expense?
*
4- When did you incur this expense?
*
/
Month
/
Day
Year
4- Number of Participants?
*
If more than 12 people, you can list the number of participants. If under 12 people, please list all names.
4- Expense Amount
*
4- Receipt?
*
Please Select
Yes
No
Lost
4- Provide Explanation:
*
Attach Receipt 4
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
5- Ministry/Cost Center
Please Select
Administration (511)
Congregational (512)
Childrens Ministry (513)
Youth & Family Ministry (515)
Campus Ministry (516)
Creative Arts Ministry (521)
Sports Ministry (521)
Communities (521)
Missions (522)
Buildings & Grounds (523)
5- Ministry Expense Type
Please Select
Training & Development (510)
Honoraria (Non-employee) (520)
Travel/Conferences (530)
Local Meals/Food (540)
Professional Fees (560)
Supplies (580)
Facility Rental/Outside Services (620)
Special Events (630)
Gifts and Flowers (640)
Teaching Materials (650)
Miscellaneous (660)
5- Sports Ministry Expense Type
Please Select
Special Events (701)
5- Congregational Expense Type
Please Select
Training & Development (510)
Honorarium (520)
Travel/Conferences (530)
Local Meals/Food (540)
Recruitment/Moving (550)
Professional Fees (560)
Supplies (580)
Facility Rental/Outside Services (620)
Special Events (630)
Gifts and Flowers (640)
Teaching Materials (650)
Miscellaneous (660)
5- Administration Expense Type
Please Select
Professional Fees-Admin (120)
Subscriptions/Licenses (130)
Bank Fees (140)
Postage/Shipping (180)
Printing/Copying (190)
Training and Development (210)
Equipment-General (220)
Travel/Conferences (230)
Miscellaneous (240)
Office Supplies (280)
5- Missions Expense Type
Please Select
International Missions (100)
Africa Missions (101)
European Missions (103)
Int'l Missions Others (105)
Caribbean Missions (106)
Missions Trip Expenses (600)
Local Missions (200)
Southeast Missions (300)
5- Buildings & Grounds Expense Type
Please Select
Alarm Monitoring (110)
Fines & Fees (115)
Cable Internet Service (120)
Natural Gas (130)
Power, Water & Associated Exp (140)
Waste Disposal (150)
Cleaning Services (210)
Landscape Maintenance (220)
Security Services (230)
Equipment Maintenance & Repair (310)
Building Maintenance & Repair (340)
Bldg & Grounds - Miscellaneous (420)
Building Technology & Capital Exp (430)
Building & IT Professional Fees (440)
5- Communities Expense Type
Please Select
The Battery (712)
East Cobb (703)
East (704)
Intown (700)
Northwest (706)
Marietta Square (707)
North Marietta (708)
South (709)
West Cobb (710)
5- What was the expense?
*
5- Where was the expense?
*
5- What was the date and business/ministry purpose for this expense?
*
5- When did you incur this expense?
*
/
Month
/
Day
Year
5- Number of Participants?
*
If more than 12 people, you can list the number of participants. If under 12 people, please list all names.
5- Expense Amount
*
5- Receipt?
*
Please Select
Yes
No
Lost
5- Provide Explanation:
*
Attach Receipt 5
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Total Requested
Person Placing this Request:
*
Your Email Address
*
Submit
Should be Empty: