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. Please Note: Expenses are only reimbursed if submitted 90 days or less after purchase. Check the box below if you agree with the expense reimbursement policy.* I agree PhoneThis field is for validation purposes and should be left unchanged. Δ
