Expense Reimbursement Form

1. This form is to be used for the following purposes:

To request a check for reimbursement for Church related expenses where an individual has paid for expenses our of his/her personal funds.
To request a check for payment to a company, organization or other entity for Church related activities.

2. Complete all sections below.

3. Receipts, invoices, and/or other supporting documentation needs to be submitted to the church office.

4. Complete one form for each check requested (do not combine multiple requests together).

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