Reimbursement Request
Please use this form more than once if you have more than one reimbursement to submit.
Name of person submitting reimbursement request
*
First Name
Last Name
Email - in case we have questions:
example@example.com
I need a check:
*
Please reimburse for the purchase made on behalf of the UUFWC
Please pay the attached invoice
I need a check before I can make my purchase
They will mail a bill later. [eg: Buehlers, Staples]
I used the UU Credit Card for this purchase
If we create a check ahead of time, what should we do with it?
The check can wait in the office, I will pick it up
Mail the check
Give to vendor
Hold payment until the company sends a statement.
Supply details of what should be done with the check:
Please be complete: We need dates, addresses, etc.
This expense totals
Same as the check total - if you only have one request
Pay to the order of:
*
Who do we write the check to?
Memo line for committee accounting purposes
*
what was purchased?
Reimburse me from the General Operations budget :
Yes - use GENERAL FUND
No
Which expense account should be charged?
51110 Kitchen/Janitorial Supplies
51111 Grounds Maintenance [outside]
51115 General Building Maintenance [inside]
51291 Minister Professional Expenses
51292 DRE Professional Expenses
51293 Membership Coord. Professional Exp
51226 Caregivers
51300 Religious Exploration: Children
51330 Rel. Ed: Youth Group
51301 Rel. Ed: Adult programs
51400 Social Action
51430 Lay Pastoral Care Team
51460 Intrafellowship Events
51500 Membership Expenses
51550 Library Expenses
51620 Leadership Development Team
51650 Stewardship Expenses
51701 Worship: Speaker Fees
51702 Worship: Supplies
51741 Music: Prof expenses
51750 Music: Choral Expenses
51755 Music: Piano Expense
51760 Music: Substitute Pianist
51810 Computer Supplies/Fees
51840 Office Supplies
51900 X Team Expense
51950 Fundraising Expenses - Coffee House & other
51951 Garage Sale Expenses
51955 Madrigal Expenses
If not using the General Operations: Which Fund should be charged?
Capital Improvements -32100
Capital Campaign Fund- Building Expansion
Leadership Fund -----32605
Ministerial Search---- 32806
Library Fund--------- 33700
RE- Playground-------33301
RE -OWL ------------ 33302
RE - Coming of Age-- 33304
RE- Children's Library 33306
Social Action---------33400
Cakes for Kids -------33410
Green Sanctuary -----33420
Archives ------------ 33725
Which expense account should be charged?
Search Team Expenses------52806
Social Action ---------------53400
Green Sanctuary ------------53200
Forward Open Plate ---------53401
Cakes for Kids --------------53410
Leadership Expenses -------53605
Library ---------------------53700
Building Expansion /
Capital Campaign Expenses -52001
Maintenance projects -------52100
Other - see detail below
Authority to use funds
I have authority to make this purchase
The committee chair needs to approve this
Email of committee chair
ONLY if approval is needed -- please provide their email address
Please upload your receipt or take a picture
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Anything else we need to know?
I am a real person. Please write the word you see
*
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