EXPENSE REIMBURSEMENT REQUEST Date* MM slash DD slash YYYY Your full name:* First Last Your email:* HiddenSelect what department that expense is applying to:Bible SchoolChurch CampChurch Equipment purchasesContractor JobsDay Care/Pre-SchoolDecorationsDramaEducationFinancialFlowersHousehold Expenses (Supplies)ITKids CampKitchenLandscapeLibraryMedia GeneralMedia Special ProjectsMinistry OrganizationMissionaryMusicNew BuildingPastorsRadioRepair and MaintenanceSchool (SCA)SecuritySilver AgesSpecial ProjectsTeen CampTransportationUnexpected ExpenseYouthOtherSelect Department*(A1) Utility(A2) Supplies(A3) Church Insurance(A4) Taxes(A5) Building Maint&Repairs(A6) Janitor & Landscaping(A7) Pro.Services(A8) Church Еquipment purchases(A9) Extraordinary items(A10) Auto expense(C1) Pastor Wages(C1.1) Med Insurance fund(C2) Church Ministries(C3) Mission & Charity(C3.1) Unexpected social expenses(C4) Music & Choir(C5) Youth Ministries(C6) Church Camp(C7) NW Association(C9) Kid's Camp(C10) Teens Camp(D1) Photo/video service(D2) Library(D3) Radio & Internet LivStream(E1) Sunday School Ministries(E2) Russian School(E3) Spiritual Education(F) New ConstructionSelect Sub Department (A5)*(A5) Maint&Repairs - General(A5.1) Maint&Repairs - Special ProjectsSelect Sub Department (A8)*(A8) Church Еquipment - General(A8.1) Church Еquipment - Special ProjectsSelect Sub Department (A10)*(A10) Auto expense - General(A10.1) Auto expense - Special ProjectsSelect Sub Department (C2)*(C2.1) Church Ministries - Kitchen(C2.1.1) Church Ministries - Special Projects(C2.1.2) Church Ministries - Silver Ages(C2.1.3) Church Ministries- Family(C2.1.4) Church Ministries - Security(C2.2) Church Ministries - General(C2.3) Church Ministries - DecorationsSelect Sub Department (C4)*(C4) Music & Choir - General(C4.1) Music & Choir - Special Projects(C4.2) Music & Choir - Music CampSelect Sub Department (C5)*(C5) Youth Ministries - General(C5.1) Youth - Special ProjectsSelect Sub Department (D1)*(D1) Photo/video service - General(D1.1) Photo/video - Special ProjectsWhat department should this purchase be attributed to:* Enter the total amount of the reimbursement:*Who authorized this purchase?* First Last Whom should the reimbursement be issued to:* First Last Enter the DESCRIPTION and the PURPOSE of the item(s) that has been purchased:*Any additional notes:Upload your receipt(s) here:* Drop files here or Select files Max. file size: 64 MB. Please do not close browser or click back button until you see a confirmation page. (May take up to one minute or more after clicking a Submit button) Δ