Report an Expense

Name

First Name

Last Name

Vendor

Where did you make the purchase?

Date of Purchase

MM

DD

YYYY

Expense Category

Select a Category

Description of Purchase

What did you purchase?

Total amount

Total including tax.

$

Did you turn in receipt?

Email a copy/picture of this receipt to accounting@annexchurch.org

Yes

Report items purchased with church funds.

Reimbursement Request Form

Name

First Name

Last Name

Date

MM

DD

YYYY

Expense Category

Select Category

List Purchases

Amount/Vendor/Date

Total Amount

What is the total amount you are requesting for reimbursement?

$

Receipts

I have sent copies of my receipt(s) to accounting@annexchurch.org.

Yes

No, but I will today.

Who Approved the Expense?

Request reimbursement for items purchased with personal funds.