UMBC Ministry Disbursement and Reimbursement Form

UMBC Ministry Disbursement and Reimbursement Form

Complete the form in its entirety.
Greetings!

This form serves TWO PURPOSES:
1. To secure a disbursement check from the UMBC Finance Office for vendors/persons who are providing one-time services for a pre-approved activity.
2. To secure a reimbursement check from the UMBC Finance Office for pre-approved expenses you have already covered for an activity.
Process:
1. Once you complete the form, your ministry leader or Trustee Chair will be notified to approve the disbursement or reimbursement request.
2. Once approved by the ministry lead or Trustee Chair, the approval process will move to the UMBC Finance Office to process the check disbursement.
3. Please plan accordingly and allow for 2 weeks for processing.
4. Bro. Charles Green will alert you when the checks are ready for pickup.
If you have any questions, please contact the church office at: 517-485-7705.

God Bless and Thank you for your time and efforts,

UMBC Executive Team
Person completing the form.*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
E-mail
Your E-mail Address
Select the ministry submitting for disbursement.*
Name of the ministry project/event.*
Ministry Leader's Name

First NameLast Name
Ministry Leader's Email
example@example.com
Disbursement OR Reimbursement Check Needed?
Disbursement check to a vendor/person who is providing/provided a service.Reimbursement check for an expense I covered.
Disbursement Transaction

Disbursement check needed for purchases to be made OR services that have been provided.

Disbursement List - Itemize below the checks that are needed to disburse to persons/vendors for your pre-approved activity.

Rows	DATE of purchase or services	VENDOR or NAME of Person & Service	MAILING ADDRESS	COST
1
2
3
4
5
6
7
8
9
10

Total Cost of Disbursement ($)
You may upload any additional information (e.g., copy of an invoice)

Cancelof
Additional details about this disbursement you would like to add?
I certify that all information entered above is valid and true.
Signature
Reimbursement Transaction

Reimbursement check that will go to you.
Personal Credit CardPersonal CheckPersonal Cash

Reimbursement - Itemize your purchases from each store. The Excel form will total at the end. You will receive one check from the UMBC Finance Office.

Rows	Purchase Date	Product/Service Description	Cost
1
2
3
4
5
6
7
8
9
10

Total Cost ($)
Take a picture of your receipts and upload images below.

Cancelof
Additional helpful details about your purchases. The details will assist the Finance Office to reconcile expenses for the activity, and if applicable, process your reimbursement. Please also state if a Trustee accompanied you while shopping - share their name as well.
I certify that all information entered on the form is valid and true.
Signature
Should be Empty:

UMBC Ministry Disbursement and Reimbursement Form

Disbursement OR Reimbursement Check Needed?

Disbursement Transaction

Reimbursement Transaction