Check / Credit Card Request (Mar 2023+)

Check / Credit Card Request
Form Designer Notes:

1) If this link ever changes, please update the "Benevolence Assistance Log" Jotform as well

2) Any updates made to the ministry options should also be made in the "Receipt Storage (Credit Card Transactions) form"
Request Type*

Check RequestCredit Card Request
Check Req. #
Credit Card Req. #
What is the justification for NOT submitting a Check Request?*
Your Name*
Your Email*
example@example.com
Click HERE for the 2025 Budget
Check 1-2 boxes that apply: This expense...*

Is PLANNED and falls WITHIN the approved budget line itemOccurs ON TARGET per the approved budget timeframeIs PLANNED but EXCEEDS the approved budget line itemOccurs BEFORE the approved budget timeframeIs UNEXPECTEDOccurs AFTER the approved budget timeframeIs an Administration or Operational expense

CHECK PAYMENT DETAILS
Payee*
Have an invoice or receipt? Be sure to attach a file to the form.
Mail or Pickup Check?*

MailPickup
Additional Check Request Field(s):*

Attn:Quote/Invoice (upload quote/invoice)Reimbursement (upload receipt)Tax IDNone of the above
Upload Reimbursement Receipt(s)*

Upload a File

Cancelof
Upload Quote/Invoice*

Upload a File
Please do NOT attach a link here Cancelof
Benevolence Applicant
Account Number
For benevolence
Benevolence Team Member
Attn:
Mailing Address

Address

Address 2

CityState

Zip
Tax ID

CREDIT CARD DETAILS
Planned Purchase Date*
Upload Credit Card Request Quote/Invoice

Upload a File
Please do NOT attach a link here Cancelof
Vendor*

VERIFY CREDIT CARD DETAILS
Please ensure that you have uploaded an invoice/quote for your expected credit card transaction, whenever applicable (e.g. equipment purchases, catering fees, event space rentals, facility-type service, etc.)

ITEM REQUEST(S)
IMPORTANT REMINDER:

Please ensure that NO SALES TAXES were incurred since we are a 501(c)(3) organization. If you need a tax exempt form, please download HERE or contact the church office at 972-276-5218.
I have multiple items
Item 1*
Quantity*
Unit Price*
Total*
Item 2
Quantity
Unit Price
Total
Item 3
Quantity
Unit Price
Total
Item 4
Quantity
Unit Price
Total
Item 5
Quantity
Unit Price
Total
Item 6
Quantity
Unit Price
Total
Item 7
Quantity
Unit Price
Total
Item 8
Quantity
Unit Price
Total
Item 9
Quantity
Unit Price
Total
Item 10
Quantity
Unit Price
Total
Grand Total
Comments
Should be Empty:

Check / Credit Card Request