Request / Reimbursement Form
APPROVAL FORM
Type of Form
*
Request
Reimbursement
Read Instructions
Date of Request
*
/
Month
/
Day
Year
Date
Total Amount:
*
Requested by:
*
First and Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Date of Event (if Applicable)
-
Month
-
Day
Year
Date
Expense Category
*
Capital Expenses
Regular Expenses
Maintenance Expenses
Please pay to:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Authorized
*
Yes
No
Upload Receipt (if Applicable)
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of
Please note that as of 3/1/2019, all expenses must be submitted and approved for reimbursement within 30 days of expenditure, with the exception of any spent at the end of the fiscal year which must be submitted no later than the 10th of the first month of the new fiscal year.
Role/Title in Parish (if Applicable)
PEB member (Parish Executive Board)
PPC member (Parish Pastoral Council)
PFC member (Parish Financial Committee)
PC member (Parish Committees)
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Should be Empty: