ROA Forms | Check/Cash Advance & Expense Reimbursement Form

Check/Cash Advance & Expense Reimbursement Form

Current Date

Your Name

Ministry

Program/Event Name

Check/Cash Advance (This is for pre-approved expense and/or purchase)

Make Check Payable To

Purpose/Service Provided

Dollar Amount Requested: $

Date Check is Needed

Is this expense in the budget

Yes No

Financial Code (To Charge Expense)

Receipts are due immediately after purchase but not more than 5 days after receipt of the check. Receipts must be turned into the Accounts Payable Office. The requester will be responsible for submitting cash for any receipts not received.

Expense Reimbursement (This is for pre-approved expense and/or purchase)

Evangelism Exaltation Edification Extension Equipping

Make Check Payable To

Purpose/Service Provided

Dollar Amount Requested: $

Date Check is Needed

Is this expense in the budget

Yes No

Financial Code (To Charge Expense)

Receipts are due immediately after purchase but not more than 5 days after receipt of the check. Receipts must be turned into the Accounts Payable Office. The requester will be responsible for submitting cash for any receipts not received.