LCC Expenses Claim Form

Expenses Claim Form.
Just fill in the details of your claim on this form and press print! This will produce a cover sheet to which you can attach your receipts. Up to 5 separate receipts can be listed. Finally, press submit and the details will be added to the church expenditure spreadsheet. Thanks!

Your Name:*

First NameLast Name

Budget Group/Area*

Payment for*

Claim Date*

Cheque Payable to

OR Bank Transfer Account Name, Number, Sort Code

Notes

Receipt Details

Rows	Vendor	Amount
Receipt 1
Receipt 2
Receipt 3
Receipt 4
Receipt 5

Total Amount

Total Amount Claimed*

I certify these amounts are accurate and true

Signature: ____________________________________