Finance Use this form to request reimbursement for expenses, or to report use of the Church Debit Card. HiddenUnique IDRequest Type* Reimbursement Request Debit Card Purchase Date of Transaction* MM slash DD slash YYYY Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Vendor Name* Purchase Description:*Please list all items on this purchase.Item DescriptionQuantityRateAmount Amount TotalBudget Category*Select below with the most accurate budget category for this expense: Office Finance SPPRC Trustees Outreach Ministries Worship Pastor Professional Expenses Office Sub Category Office Supplies Postage Advertising Equip Lease Or Servicing Paper Finance Sub Category Bank Fees Check Fees Late Fees SPPRC Sub Category Payroll Guest Speaker Fees Taxes Trustees Sub Category State/Local Fees or Taxes Insurance Labor for Repairs or Maintenance Utilities Trash Water Internet Snow Removal/Lawn & Sprinkler Supplies Outreach Sub Category EFAA Habitat For Humanity BUMMP Ministries Sub Category Education UMM UMW UMYF Worship Sub Category Music Robes Bells AV Equipment Candles Supplies Pastor Sub Category Event Registration Fees Dues (i.e. Office 360) Travel & Meals Emergency Relief Fund Books & Software Supplies & Equipment Please attach receipts for this purchase*Receipts for all line items are required for reimbursement. Drop files here or Select files Max. file size: 64 MB. EmailThis field is for validation purposes and should be left unchanged. Δ