Babysitting Reimbursement Form
Cross Point Community Church
Your Name
*
First Name
Last Name
Address (You will be paid via Bill Pay Check, mailed within 3 weeks of submission)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Event Name
*
Was this your small group? A church function? One form per event or type of event please.
Expense Detail
After submitting the following information, 2 elders will certify the reimbursement and send it to our Finance Deacon to be processed and delivered.
Monthly Ledger for Babysitters (Enter up to two sitters per week)
Rows
Date
Sitter Name
Payment Amount
Week 1, Sitter 1
Week 1, Sitter 2
Week 2, Sitter 1
Week 2, Sitter 2
Week 3, Sitter 1
Week 3, Sitter 2
Week 4, Sitter 1
Week 4, Sitter 2
Week 5, Sitter 1
Week 5, Sitter 2
Total Reimbursement Requested
*
I certify:
*
That all information entered above is valid and true.
I have a previously documented communication (ie email/text) with an elder approving an application for reimbursement of babysitting services.
Signature
*
Submit
Submit
Should be Empty: