CG Expenditure Authorization Request Form
Submission Information
Subject Line:
*
Examples: Youth Mission Trip, School Curriculum Purchase, A/C Replacement for Classroom etc.
Your Name:
*
Your Email:
*
Remittance Information
Payee:
*
Please list the specific vendor(s) rather than MidFirst Visa.
Due Date
*
-
Month
-
Day
Year
Date
Expense Information
Account Code
*
If this is software related, please check to see if we have existing licenses before proceeding.
Amount:
*
Description:
*
Also include any special remittance instructions
Payment Method
*
Check / ACH (please submit voucher & invoice)
Credit Card
Individual Reimbursement
Due Diligence Review
What type of expenditure is this? (Click all that apply)
Facility Improvement Project
Facility Improvement Review
Supporting Documentation
Upload a File
Optional - helpful documents may include budgets, bids, or service agreements
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