AUMC REQUEST FOR PAYMENT FORM

Aldersgate United Methodist Church 1320 Umstead Rd., Durham, NC 27712

919-477-0509 www.aldersgate.org
REQUEST FOR PAYMENT FORM
NOTE: This electronic form can be used only for expenditures less than $500.00. For other expenditures, please use the paper reimbursement form located at AUMC Cost Center List located in Google Drive > AUMC Leadership-Volunteer Resource Center > Frequently Used
IMPORTANT

Please use the TAB key or mouse pointer to move between fields - do not use the ENTER or RETURN key. When you press ENTER, your form will be submitted for approval.
CHECK PAYMENT
PAY TO THE ORDER OF [NAME]
Enter your name - First and Last Name
PAY TO THE ORDER OF [MAILING ADDRESS]
Enter your full mailing address, including City, State, and Zip
SUBMITTER EMAIL
Enter your email (example@example.com)
COST CENTER
COST CENTER
Select the Cost Center for this expense. For a list of Cost Centers, refer to AUMC Cost Center List located in Google Drive > AUMC Leadership-Volunteer Resource Center > Frequently Used
Email
example@example.com
AMOUNTS
TOTAL TO BE PAID TO YOU
Enter the total amount (cost + taxes) to be paid
SALES TAX (TO BE PAID TO AUMC)
Enter sales taxes - these will be reimbursed back to AUMC
NET TOTAL (EXCLUDING SALES TAX)
Total, excluding sales tax - calculated field
RECEIPT UPLOAD

Upload your receipt here—acceptable formats are PDF, JPG, PNG, or TIFF.
Cancelof
EXPLAINATION FOR EXPENDITURE
Enter a detailed explaination for this expenditure
PAYMENT APPROVAL

When you select SUBMIT, your request will be sent to the signature approver for the Cost Center selected above.
For signature requirements, refer to Request for Payment Policy located in Google Drive> AUMC Leadership-Volunteer Resource Center>Frequently Used.
- Attach all relevant receipts to this form.
- Ensure the form is complete before submission.
- This form will be submitted to the AUMC Treasurer after approval(s).
- Payments will be processed in the next payment cycle.
Department
Account
Should be Empty:

REQUEST FOR PAYMENT FORM

IMPORTANT

CHECK PAYMENT

COST CENTER

AMOUNTS

PAYMENT APPROVAL