FMC Payment Request Form

FMC Payment Request Form

FMC Payment Request Form

Payments to Vendors or for Reimbursement
Name of Person Requesting a Check

First NameLast Name
Email
example@example.com
Check Instructions
More Information on Payment Type
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
- Expense #1
- Vendor/Individual Name
  
  First NameLast Name
- Description of Product or Service
- Committee/Ministry
- Amount
- Upload Invoice or Receipt
  
  Cancelof
- Expense #2
- Vendor/Individual Name
  
  First NameLast Name
- Description of Product or Service
- Committee/Ministry
- Amount
- Upload Invoice or Receipt
  
  Cancelof
- *Authorization to Pay Vendor/Individual
- *Attach a scan or picture of the Chair authorization email along with receipts or email a copy of the Chair authorization and receipts to felicianamc2023@gmail.com. If multiple Chair authorizations are needed because purchases are for different committees/ministries on one receipt or invoice, attach or email Chair authorization for each committee.
  
  ALL CHECK REQUESTS MUST BE TURNED IN BY 8AM ON MONDAYS TO BE PROCESSED THAT WEEK.
  
  CHECKS WILL BE SIGNED AND MAILED OUT THAT WEDNESDAY.
- Have you received authorization for this expense?
- Upload Committee/Ministry Chair Authorization
  
  Cancelof
- Should be Empty: