Electronic Request for Expenditure/Reimbursement

REQUEST FOR EXPENDITURE/REIMBURSEMENT
Your Contact Information

In the case that more information is needed, please complete the following information so that signers can connect directly with any questions. This help to ensure the quickest processing of your expense/reimbursement request.
Requestor's Name*

First NameLast Name
Requestor's Email*
example@example.com
Requestor's Phone Number*
Please enter a valid phone number.
What is funding source for your request? Most RFEs come from general operating, but if this connected to a grant initiative or other restricted funds, please note below.*

General OperatingGrantsRestricted Funds
Today's Date*

MonthDayYear
Date
Name of Ministry/Grant Requesting*
Maximizing Ministry*
Amount Requested for Expenditure or Reimbursement:*
Reason/Purpose:*
Provide a short description for the request or expenditure.
Check Payable to:*
If this is an existing vendor, only the name will be needed for this RFE. If it is a NEW vendor, the name and address will need to be provided below.
(Program/Event Date)*

MonthDayYear
What is the date of the event or expense?
(Budget Line Item)*
Where is this expense funded in your ministry budget? If unsure, contact your Ministry Trustee BEFORE submitting.
Vendor/Payee Information
Is this a vendor your ministry has used in the past two years? If not, new information should be provided below.*

Yes, we have used this vendor in the last two years.No, we need to provide contact information for this vendor.
Should the check be mailed or held for pick up?*

Mail CheckPick UpOnline/Card Transaction (General Operating Only)
Vendor/Payee Name
Address (Street)
Address (City, State, Zip Code)
Phone

Approval Information and Signature Requirements
Required Approvals via Signature or Email:

$200 or below – Maximizing Ministry Coordinator, Ministry Trustee

$201 to $1000 - Maximizing Ministry Coordinator, Ministry Trustee, Trustee Chair

$1001 and above - Ministry Coordinator(s), Ministry Trustee, Trustee Chair, Pastor
- It is the responsibility of the person creating the requisition to make sure applicable signatures are in place according to the amountrequested before given to the Financial Administrator for processing.
- This form must be filled out completely to receive check (e.g., name, address, city, state, zip
- Unused funds and receipts must be returned to Trustee Office or Ministry Trustee within 7 days from date of activity.
- This form must be reviewed, approved and signed by your Ministry Trustee before submitting.
Processing and distribution of funds could take up to 14 days calendar. Please allow for adequate time for when submitting your request.

Receipts and Attachments
Attachments*

Upload any necessary files to support the justification and approval for this expense.
Cancelof
Check Number
Check Date

MonthDayYear
Date
Check Date

MonthDayYear
Date
Amount
Account
Should be Empty:

REQUEST FOR EXPENDITURE/REIMBURSEMENT

Your Contact Information

Vendor/Payee Information