Reimbursement Request Form

Reimbursement Request Form

Please use this form to be reimbursed for church related expenses.
*Please only use this form for STAFF reimbursements. If you need to reimburse lay members please use the Payment Request Form*
Requestor Info
Your name*

First NameLast Name
Your Email*
Ministry/Department
Amount (in Dollars) *
Payment Type*
If choosing direct deposit, please make sure the Finance Department has the correct account info
Reason/Comments*
File Upload*

Please upload a copy of the purchase receipt
Cancelof
Should be Empty:

Requestor Info