Expense Claim Form

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Expense Claim Form

Complete the following electronic Expense Claim Form

Or Download and print blank Expense Form

Date *

Expenses incurred by

Name *

Email Address *

Select the type of Service *REIMBURSEMENTDONATION

Field Group

Date of Purchase *

Store or Supplier *

Item or Service Purchased

Pre Tax Price *

HST

Full Price *

Total

Pre Tax Price

HST

Full Price

$

Upload Receipt(s)

Drag and Drop (or) Choose Files

EXPENSE CATEGORY (Choose One)

Checkbox *Buildings and GroundsSunday ServicesMembershipCapital ExpenditureAdult ProgramsCaring CommitteeMusic & TechnologyYoung Adult ProgramsPublic AwarenessHospitalityChildren’s programsNewsletter/ WebsiteAdministrationLay ChaplaincySocial ResponsibilityFinancesCUCProfessional DevelopmentOther

Authorization *Please add name and signature of committee chair

Signature

Start signing your signature here

Save as Draft

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