Check Request Form

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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. Kindly note that reimbursements may not be available for every purchase, so it is essential to complete the check request process in advance.

Email *

Date *

YYYY

Person Submitting/Requesting *

Ministry Representing *

Reason for Purchase *

Amount Requested *

Was this Item/Event included in Your Annual Budget? *

Is this a Reimbursement? *

Yes

What Form of Payment Requested *

Check Payment

Credit Card

Other:

Payable or Paid to *

Charge to Which Ministry

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