Lighthouse Community Church Accounting Request Form

Lighthouse Community Church Accounting Request Form
Please check one:*

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

MonthDayYear
Date
Name (Check Recipient)*

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

Street Address

Street Address Line 2

CityState / 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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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?*
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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 5

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Local Outreach (7600)
Local Outreach - Fall Festival (7601)
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Children’s Ministry - General (6600)
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