Lighthouse Community Church Accounting Request Form

Lighthouse Community Church Accounting Request Form
Please check one:*

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

MonthDay 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 MinistriesOffice 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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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Vendor Check Request/Wire Transfer

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

Check RequestWire 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

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Ministry 2
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Invoice(s) for Ministry 2

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Ministry 3
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Each item you're requesting a check for under this ministry. For example: "TMU MABC Tuition - $600, Southern Baptist Theological Tuition - $900"
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Invoice(s) for Ministry 3

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Ministry 4
(Vendor) Which ministry are you submitting for?*
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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

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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

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Leadership Expenses - Reimbursables (7002)
Leadership Expenses - Elder Exp. (7003)
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Link (6050)
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Retreat / Events - Scholarships (6505)
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Software Subscriptions (5500)
Special Event Gifts (6530)
Spectrum - International Ministry (7700)
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Video Production - Children’s Ministry (6602)
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Leadership Training (7050)
Leadership Training - Conference (7051)
Leadership Training - Education (7052)
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Link (6050)
Local Outreach (7600)
Local Outreach - Fall Festival (7601)
Men’s Ministry (6810)
Mercy Ministry (7300)
Office Supplies (5000)
Praxis (6860)
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Professional Fees - Web Page (5302)
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Retreat / Events - Scholarships (6505)
Security (7840)
Shine (6100)
Small Groups (6800)
Software Subscriptions (5500)
Special Event Gifts (6530)
Spectrum - International Ministry (7700)
Utilities (7830)
Video Production - All Church (6550)
Video Production - Children’s Ministry (6602)
Vision (6830)
Women’s Ministry (6820)
Women’s Ministry - Lamplighters (6821)
Women’s Ministry - Inreach (6822)
Women’s Ministry - Outreach (6823)
Women's Ministry - Conference (6825)
Worship Expenses (6200)
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Worship Expenses - Musical (6202)
Worship Expenses - New Equipment (6203)
Worship Expenses - Bulletins (6204)
Youth Ministry - General (6700)
Youth Ministry – Junior High (6701)
Youth Ministry - High School (6702)

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