Volunteer Expense Reimbursement

Volunteer Expense Reimbursement

Use this form to request reimbursement for a church program expense.
Expenses must be submitted for reimbursement within 60 days. You must submit your receipts (they may be uploaded to this form as a pdf or jpg file, or you may bring or mail them to the church office - Jefferson Unitarian Church, 14350 W 32nd Ave, Golden, CO 80401). Reimbursement will not be made without documentation of the expense.

A check will be mailed to you within three weeks.
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Program Area*
If Program Area "Other" was selected, please describe here:
Description of Expense (what did you buy or pay for?)*
Amount Requested:*
Upload pdf or jpg receipt(s)*

Cancelof
Comments, questions, additional information:
Should be Empty: