CIAtl Expense Reimbursement Form

Church in Atlanta

and

Highview House, LLC

Expense Reimbursement Form
Use this form for all expenses related to the church in Atlanta properties, services, and general operations.

Use this form also for all expenses related to Highview House, LLC operations.
Name*

First NameLast Name
E-mail*
Your E-mail Address
Phone Number*
I am submitting reimbursement for (click one):*

The church in AtlantaHighview House, LLC

The Church in Atlanta

NOTE: Except for mileage, all expenses submitted for reimbursement below *must* have a corresponding major and minor category, cost, description, and receipt (receipts are submitted at the very end of the form). Failure to include any of these will delay payment of your reimbursement.
Total number of reimbursable miles
Reimbursement for mileage submitted

Properties owned and leased

	Major category	Minor category	Cost ($)	Description of purchase
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Properties owned and leased total

Areas of labor and support

	Major category	Minor category	Cost ($)	Description of purchase
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Areas of labor and support total

Church general operating expenses

	Major category	Minor category	Cost ($)	Description of purchase
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Church general operating expenses total
Total reimbursement
Receipts and mileage logs*

Upload all the files validating each of the purchases listed above.
Cancelof
Additional notes

Highview House, LLC

NOTE: All expenses submitted for reimbursement below *must* have a corresponding major and minor category, cost, description, and receipt (receipts are submitted at the very end of the form). Failure to include any of these will delay payment of your reimbursement.

Highview expenses

	Category	Cost ($)	Description of purchase
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Highview expenses total
Highview receipts*

Upload all the files validating each of the purchases listed above.
Cancelof
Additional notes

Click "Submit" to complete the form.
Should be Empty: