Expense Voucher Name* Email* Will this be reimbursed?* Yes Partially No, I'd like to donate the entire amount Do you need a tax receipt?* Yes No How much will be donated?*Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How many items are you expensing?* One Two Three Who is approving this item?*Pr. Jeremiah SmartPr. Joey BaragasDepartment leaderDepartment leader name Item OneDescription* Select fund*General FundSpecial Projects FundRepair & Maintenance FundCemetery FundCommunity Services FundChurch Missions FundGood Samaritan FundEvangelism FundSoup Kitchen Ministry FundBreakfast Connection FundFamily Life Ministry FundPastors Discretionary FundSmall Groups FundFellowship Ministries FundAdventurer Group FundPathfinder Group FundSabbath School FundAudio/Visual Ministry FundHappy Hearts SS FundBright Beginners SS FundKingdom Kids SS FundLamplighters SS FundTrailblazers SS FundEarliteen SS FundYouth Ministries FundWorship Planning FundMember Care FundChurch Renovations FundSelect account*Events/Programs/SpeakersMissions ExpensesBenevolenceMinistry SuppliesOutreach LiteratureMusicMinistry EquipmentKitchen SuppliesDecorating SuppliesAdvertisingSchool SubsidyCurriculumScholarshipsVolunteer Training & DevelopmentFoodDues/Fees/SubscriptionsOffice SuppliesPaperPostageOutside PrintingEquipment Lease/MaintenanceComputer Support & MaintenanceOffice Equipment PurchasesBank FeesMiscellaneous ExpensesGifts & AppreciationStaff Training & DevelopmentBuilding & Grounds MaintenanceLawn CareRepair/Maintenance SuppliesCustodial SuppliesRent/Usage FeesAmount* Item TwoDescription* Select fund*General FundSpecial Projects FundRepair & Maintenance FundCemetery FundCommunity Services FundChurch Missions FundGood Samaritan FundEvangelism FundSoup Kitchen Ministry FundBreakfast Connection FundFamily Life Ministry FundPastors Discretionary FundSmall Groups FundFellowship Ministries FundAdventurer Group FundPathfinder Group FundSabbath School FundAudio/Visual Ministry FundBeginners SS FundKindergarten SS FundPrimary SS FundJunior SS FundEarliteen SS FundYouth Ministries FundWorship Planning FundMember Care FundSelect account*Events/Programs/SpeakersMissions ExpensesBenevolenceMinistry SuppliesOutreach LiteratureMusicMinistry EquipmentKitchen SuppliesDecorating SuppliesAdvertisingSchool SubsidyCurriculumScholarshipsVolunteer Training & DevelopmentFoodDues/Fees/SubscriptionsOffice SuppliesPaperPostageOutside PrintingEquipment Lease/MaintenanceComputer Support & MaintenanceOffice Equipment PurchasesBank FeesMiscellaneous ExpensesGifts & AppreciationStaff Training & DevelopmentBuilding & Grounds MaintenanceLawn CareRepair/Maintenance SuppliesCustodial SuppliesRent/Usage FeesAmount* Item ThreeDescription* Select fund*General FundSpecial Projects FundRepair & Maintenance FundCemetery FundCommunity Services FundChurch Missions FundGood Samaritan FundEvangelism FundSoup Kitchen Ministry FundBreakfast Connection FundFamily Life Ministry FundPastors Discretionary FundSmall Groups FundFellowship Ministries FundAdventurer Group FundPathfinder Group FundSabbath School FundAudio/Visual Ministry FundBeginners SS FundKindergarten SS FundPrimary SS FundJunior SS FundEarliteen SS FundYouth Ministries FundWorship Planning FundMember Care FundSelect account*Events/Programs/SpeakersMissions ExpensesBenevolenceMinistry SuppliesOutreach LiteratureMusicMinistry EquipmentKitchen SuppliesDecorating SuppliesAdvertisingSchool SubsidyCurriculumScholarshipsVolunteer Training & DevelopmentFoodDues/Fees/SubscriptionsOffice SuppliesPaperPostageOutside PrintingEquipment Lease/MaintenanceComputer Support & MaintenanceOffice Equipment PurchasesBank FeesMiscellaneous ExpensesGifts & AppreciationStaff Training & DevelopmentBuilding & Grounds MaintenanceLawn CareRepair/Maintenance SuppliesCustodial SuppliesRent/Usage FeesAmount* Upload receipt(s)* Drop files here or Select files Max. file size: 300 MB. Total $0.00 All expenses submitted for reimbursement will be verified with department leaders for approval Expenses are only reimbursed with a receipt. Expenses are only reimbursed if all fields in the form are complete. Expenses are only reimbursed if submitted 90 days or more after purchase. Check the box below if you agree with the expense reimbursement policy.* I agree NameThis field is for validation purposes and should be left unchanged. Δ
