Expense Reimbursement Form

Reimbursing church employees/volunteers for out-of-pocket expenses requires that careful records are kept. Review our NEW Expense Reimbursement Policy before submitting your receipts. Once you have reviewed the policy, fill in the information below and upload digital copies (pdf or photo) of all receipts.

Your name *

Email address *

Which ministry or budget line does this get charged to? (example: Kids Ministry) *

Please list the receipts below (include simple description and receipt total)

Receipt #1 Description (eg. inflatable moose outfit) *

Receipt #1 Total (eg. $1,200.23) *

Receipt #2 Description

Receipt #2 Total (in dollars)

Receipt #3 Description

Receipt #3 Total (in dollars)

Receipt #4 Description

Receipt #4 Total (in dollars)

If you have more than 4 receipts, please first submit these 4 receipts and then return to this form to submit the additional receipts.

What is the total amount you are submitting for reimbursement? (ie. the sum of the receipts listed above) *

By which method of payment would you prefer to be reimbursed? *

We require digital copies of all receipts for reimbursement (pdfs or photo). If you don't have a digital copy, creating that file can be as easy as taking a photo of it with your phone's camera.

Please upload all receipts for items listed above. *

No files currently selected

Add up to 5 files. Maximum file size 10 MB.

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