Lighthouse Community Church Accounting Request Form

Lighthouse Community Church Accounting Request Form
Please check one: *

Reimbursement Check Request/Wire Transfer (Direct Payment to Vendor)
Date *

Month Day Year
Date
Name (Check Recipient) *

First Name Last Name
Vendor/Institution Name (Check Recipient) *
Mail To: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Submitted by (if different from check recipient):
Email Address (to receive confirmation email):
example@example.com
Which category best describes your reimbursement needs? *

Church Ministries Office and Staff

Reimbursement Request

Different ministries must be submitted in separate entries.
How many ministries are you submitting for? *
Ministry 1
Which ministry are you submitting for? *
Reimbursement Description(s) and Cost(s) *
Each item you're seeking reimbursement for under this ministry. For example: "Beacon small group leader book - $12.95, Beacon snacks - $30.24"
Reimbursement Total: *
Sum of the above item(s) ($12.95 + $30.24). E.g., "$43.19"
Receipt(s) for Ministry 1

Cancel of
Ministry 2
Which ministry are you submitting for? *
Reimbursement Description(s) and Cost(s) *
Each item you're seeking reimbursement for under this ministry. For example: "Beacon small group leader book - $12.95, Beacon snacks - $30.24"
Reimbursement Total: *
Sum of the above item(s) ($12.95 + $30.24). E.g., "$43.19"
Receipt(s) for Ministry 2

Cancel of
Ministry 3
Which ministry are you submitting for? *
Reimbursement Description(s) and Cost(s) *
Each item you're seeking reimbursement for under this ministry. For example: "Beacon small group leader book - $12.95, Beacon snacks - $30.24"
Reimbursement Total: *
Sum of the above item(s) ($12.95 + $30.24). E.g., "$43.19"
Receipt(s) for Ministry 3

Cancel of
Ministry 4
Which ministry are you submitting for? *
Reimbursement Description(s) and Cost(s) *
Each item you're seeking reimbursement for under this ministry. For example: "Beacon small group leader book - $12.95, Beacon snacks - $30.24"
Reimbursement Total: *
Sum of the above item(s) ($12.95 + $30.24). E.g., "$43.19"
Receipt(s) for Ministry 4

Cancel of
Ministry 5
Which ministry are you submitting for? *
Reimbursement Description(s) and Cost(s) *
Each item you're seeking reimbursement for under this ministry. For example: "Beacon small group leader book - $12.95, Beacon snacks - $30.24"
Reimbursement Total: *
Sum of the above item(s) ($12.95 + $30.24). E.g., "$43.19"
Receipt(s) for Ministry 5

Cancel of

Staff Reimbursement Request

Different ministries must be submitted in separate entries.
(Staff) How many ministries are you submitting for? *
Ministry 1
(Staff) Which ministry are you submitting for? *
(Staff) Reimbursement Description(s) and Cost(s) *
Each item you're seeking reimbursement for under this ministry. For example: "Beacon small group leader book - $12.95, Beacon snacks - $30.24"
(Staff) Reimbursement Total: *
Sum of the above item(s) ($12.95 + $30.24). E.g., "$43.19"
(Staff) Receipt(s) for Ministry 1

Cancel of
Ministry 2
(Staff) Which ministry are you submitting for? *
(Staff) Reimbursement Description(s) and Cost(s) *
Each item you're seeking reimbursement for under this ministry. For example: "Beacon small group leader book - $12.95, Beacon snacks - $30.24"
(Staff) Reimbursement Total: *
Sum of the above item(s) ($12.95 + $30.24). E.g., "$43.19"
(Staff) Receipt(s) for Ministry 2

Cancel of
Ministry 3
(Staff) Which ministry are you submitting for? *
(Staff) Reimbursement Description(s) and Cost(s) *
Each item you're seeking reimbursement for under this ministry. For example: "Beacon small group leader book - $12.95, Beacon snacks - $30.24"
(Staff) Reimbursement Total: *
Sum of the above item(s) ($12.95 + $30.24). E.g., "$43.19"
(Staff) Receipt(s) for Ministry 3

Cancel of
Ministry 4
(Staff) Which ministry are you submitting for? *
(Staff) Reimbursement Description(s) and Cost(s) *
Each item you're seeking reimbursement for under this ministry. For example: "Beacon small group leader book - $12.95, Beacon snacks - $30.24"
(Staff) Reimbursement Total: *
Sum of the above item(s) ($12.95 + $30.24). E.g., "$43.19"
(Staff) Receipt(s) for Ministry 4

Cancel of
Ministry 5
(Staff) Which ministry are you submitting for? *
(Staff) Reimbursement Description(s) and Cost(s) *
Each item you're seeking reimbursement for under this ministry. For example: "Beacon small group leader book - $12.95, Beacon snacks - $30.24"
(Staff) Reimbursement Total: *
Sum of the above item(s) ($12.95 + $30.24). E.g., "$43.19"
(Staff) Receipt(s) for Ministry 5

Cancel of

Vendor Check Request/Wire Transfer

Different ministries must be submitted in separate entries.
Check Request or Wire Transfer? *

Check Request Wire Transfer
(Vendor) How many ministries are you submitting for? *
Ministry 1
(Vendor) Which ministry are you submitting for? *
Payment Description(s) and Cost(s) *
Each item you're requesting a check for under this ministry. For example: "TMU MABC Tuition - $600, Southern Baptist Theological Tuition - $900"
Payment Total: *
Sum of the above item(s) ($600 + $900). E.g., "$1500"
Invoice(s) for Ministry 1

Cancel of
Ministry 2
(Vendor) Which ministry are you submitting for? *
Payment Description(s) and Cost(s) *
Each item you're requesting a check for under this ministry. For example: "TMU MABC Tuition - $600, Southern Baptist Theological Tuition - $900"
Payment Total: *
Sum of the above item(s) ($600 + $900). E.g., "$1500"
Invoice(s) for Ministry 2

Cancel of
Ministry 3
(Vendor) Which ministry are you submitting for? *
Payment Description(s) and Cost(s) *
Each item you're requesting a check for under this ministry. For example: "TMU MABC Tuition - $600, Southern Baptist Theological Tuition - $900"
Payment Total: *
Sum of the above item(s) ($600 + $900). E.g., "$1500"
Invoice(s) for Ministry 3

Cancel of
Ministry 4
(Vendor) Which ministry are you submitting for? *
Payment Description(s) and Cost(s) *
Each item you're requesting a check for under this ministry. For example: "TMU MABC Tuition - $600, Southern Baptist Theological Tuition - $900"
Payment Total: *
Sum of the above item(s) ($600 + $900). E.g., "$1500"
Invoice(s) for Ministry 4

Cancel of
Ministry 5
(Vendor) Which ministry are you submitting for? *
Payment Description(s) and Cost(s) *
Each item you're requesting a check for under this ministry. For example: "TMU MABC Tuition - $600, Southern Baptist Theological Tuition - $900"
Payment Total: *
Sum of the above item(s) ($600 + $900). E.g., "$1500"
Invoice(s) for Ministry 5

Cancel of

Should be Empty:

Lighthouse Community Church Accounting Request Form

Reimbursement Request

Ministry 1

Ministry 2

Ministry 3

Ministry 4

Ministry 5

Staff Reimbursement Request

Ministry 1

Ministry 2

Ministry 3

Ministry 4

Ministry 5

Vendor Check Request/Wire Transfer

Ministry 1

Ministry 2

Ministry 3

Ministry 4

Ministry 5