Step 1 of 4 - Submission Basics 25% Check Request First Congregational Church, UCC Austin, MN This entire form must be completed & signed prior to submission to office) Attach any bills or invoices to be paid to this request. If you are not a chair, complete the first part of this form & submit to the board or committee chair for signature. Checks are prepared on or near the 15th and 30th of each month. Your name(Required) First Last Date(Required) MM slash DD slash YYYY Phone(Required)Email(Required) Recipient Personal Business Name First Last Business NameAmount(Required)Payment Reason(Required)ReimbursementDirect Payment for Products/ServicesOther (please detail below)Other: Description of Products / ServicesInvoices and/or Receipts Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 2 MB, Max. files: 6. CommitteeOfficeWorship / FellowshipProperty / GroundsFaith Formation / Congo KidsMission / OutreachCommunity BuildingWomen's FellowshipSpiritualityPreschoolPastoralTechnologySpecial ProjectsGenerosity CampaignSpecial Gifts / MemorialsExpense CategoryOfficeWorship / FellowshipProperty / GroundsFaith Formation / Congo KidsMission / OutreachCommunity BuildingWomen's FellowshipSpiritualityPreschoolPastoralTechnologySpecial ProjectsGenerosity CampaignSpecial Gifts / MemorialsAre you the committee head for the above?(Required) Yes No SignatureDate MM slash DD slash YYYY This field is hidden when viewing the formPaymentRequest-IDCAPTCHA
