Receipt Form / Reimbursement

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Request Type

*

Please select all that apply.

Reimbursement No Reimbursement (Receipt Submission Only) Check Request

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Department / Ministry

*

Please select one option.

Care Leader Creative Team Elevate Youth Events Faith Kids Facilities Guest Connect Hospitality JOSHUA Journeys Women's Ministry Men's Ministry Missions Operations Pastoral Staff Praise & Worship Production Serve Team Supplies Young Adults Other

If you selected "other", please identify your team

Purpose / Description of Expense

*

Payee (If requesting a check)

Receipt / Check Amount (If attaching multiple receipts, input total amount here)

*

Copy of Receipt, Invoice or Check Request Approval

*

Upload (8MB)

Additional Receipt

Upload (8MB)

Additional Receipt

Upload (8MB)

Submitting this reimbursement request is not an approval. If my expense has not been pre approved by Life of Faith staff, the expense is subject to post approval. My reimbursement may take longer to receive if my expense was not approved prior to submission.

*

Please select all that apply.

I Understand

For Office Use Only

Reimbursement Date

Description

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