2025 Check Request Form
Check Request are due by Wednesday at 12:00 noon weekly. Checks are signed on Wednesdays nights. All monies and/or receipts must be turned in no later than seven (7) days following the activity. No other request will be accepted until receipts have been turned in.   

Disclaimer: Prior to making any purchases, please ensure that you submit a check request.  Reimbursements may not be available for every purchase, so it is essential to complete the check request process in advance. 
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Email *
Person Submitting this Request *
Date *
MM
/
DD
/
YYYY
Phone# *
Ministry Representing


 *
Is this a Reimbursement? *
Item(s) or Service to be Purchased or Reimbursed?


 *
Reason for this Purchase? Give Details


 *
Was this Item/Event/Service included in Your Annual Budget? *
What Form of Payment Requested *
Who to Make the Check or Payment Payable to?  *
Total Amount Requested? *
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