Expense Reimbursement

You can also download and print this form to fill out and hand in to the church office: [download as pdf]

Purchased By (required)

Your Address (required)

Your Phone (required)

Your Email (required)

Purpose of Purchase (required)

Budget Line Item #

Description of Items and Cost

Total Amount $

Committee

Authorized By

Additional Comments

Purchases over $50 need to be authorized by committee chairs and purchases over $1000 need Treasurer acknowledgment prior to purchase. Please return form with all receipts and supporting documentation to Congregation Treasurer within 30 days of original purchase.