FIRST BAPTIST CHURCH Financial Request & Disbursement Form

Financial Request & Disbursement Form

Forms are reviewed weekly on Tuesdays by 5pm. Please complete the following 2 weeks in advance of due date. Digital support documents (links or scanned files) MUST BE SUBMITTED IN THIS FORM. Gather your support files prior to starting the form.
Requested Date

MonthDayYear
Ministry Code*
Can't remember your code? Use the MINISTRY CODE DIRECTORY below. Click the dropdown to select the series, and the subcategories will appear. After you locate your code, type it here.
MINISTRY CODE DIRECTORY
Choose the purchase type

Credit CardAmazonCheckLowes
Remaining Balance in My Ministry's Budget*
Name of Chairperson Requesting Funds*
Funds may only be requested by Chairperson only
Name of Ministry that will use the funds*
Payment Submitted To

Please provide details about where payment should be submitted.
What is the Company Name this payment will be submitted to? (Payment not made to individuals.)
Company Address
City
State
Zip Code
Purpose of expenditure
Please type a brief explanation of the purpose of this expenditure.
Date of Event / Due Date

MonthDayYear

Complete this table with details about the item(s) or service(s) that will be purchased. Scroll over to complete all cells. -->

Is this an online purchase?

YesNo
***No funds will be dispersed without supporting documents (i.e. Quotes, work orders, estimates, or scanned printout)
Upload any supporting documents or list web addresses below.

Cancelof
Website for the online purchase of item #1
Copy and paste the web address here.
Website for the online purchase of item #2
Copy and paste the web address here.
Website for the online purchase of item #3
Copy and paste the web address here.
Website for the online purchase of item #4
Copy and paste the web address here.
Website for the online purchase of item #5
Copy and paste the web address here.
Signature of Person Requesting Funds*

Clear
Contact phone number of person requesting funds*
Include area code. You may be contacted to verify this request.
Email address of Chairperson requesting funds*
Enter your email for approval notifications.
All purchase approvals require signatures from the Pastor and the Treasurer.

When you click "Submit", your form will be emailed to both parties for review and signature. Forms are reviewed weekly on Tuesdays by 5pm.
Should be Empty:

Payment Submitted To