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/Sub Department*(A1.1) Utility - Gas & Electric(A1.1) Utility - Gas & Electrichoice(A1.2) Utility - Fire Service(A1.3) Utility - Water & Sewer(A1.4) Utility - Computer and Internet(A1.5) Expenses - Disposal Services(A1.6) Expenses - Alarm Services(A2) Supplies(A3) Church Insurance(A4.1) Taxes - Payroll taxes(A4.2) Taxes - Other taxes(A5) Building Maint&Repairs(A6.1) Janitor & Landscaping - Janitorial Supplies(A6.2) Janitor & Landscaping - Small tools & Equipment(A7.1) Pro.Services - Software subscriptions(A7.2) Pro.Services - Equipment rental & Lease(A9) Extraordinary items(A10.1) Auto expense - Vehicle Insurance(A10.2) Auto expense - Gasoline(A10.3) Auto expense - Parts & Maintenance(C2.1) Church Ministries - Kitchen(C2.1.1) Church Ministries - Equipment(C2.1.2) Church Ministries - Disposables(C2.1.3) Church Ministries - Food(C2.2) Church Ministries - Celebrations(C2.3) Church Ministries - Baptism(C2.4) Church Ministries - Christmas(C2.5) Church Ministries - Decorations(C3) Mission & Charity(C4.1) Music Ministries - Special projects(C4.1.1) Music & Choir - Main choir(C4.1.2) Music & Choir - Men choir(C4.1.3) Music & Choir - Women choir(C4.1.4) Music & Choir - Youth choir(C4.1.5) Music & Choir - Teen choir(C4.1.6) Music & Choir - Kids choir(C4.1.7) Music & Choir - Orchestra(C5) Youth Ministries(C6.1) Camps & Recreation - Kids camp(C6.2) Camps & Recreation - Teen campC6.3) Camps & Recreation - Church camp(D1.1) Photo/video service - Media Special Projects(D2) Library(D3) Radio & Internet LivStream(E1) Sunday School Ministries(E3) Spiritual EducationOtherWhat 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