Faith Community Church

Expenditure Form

Use this form to request and record payments for Church expenses. Attach receipts. Use one form for each payment, but a payment may apply to multiple expense categories or transactions. All Expenses must be approved and signed by the department head (staff member who oversees the ministry) before handing in for reimbursement/payment.

Date: ______

Purpose of Expense (Detailed reason for purchase): ______

______

*All Expenses must be signed by department head & approved by Senior Pastor before check is written. Senior Pastor expenses will be approved by assigned board member. Please allow 9 days upon request for check to be written*

Item/Service
(items purchased/service provided) / Cost / Name of Budget to be charged
(See list of budgets below) / Category / Subcategory
(If Applicable) / Signature of Department Head (Staff person who oversees your area)
$
$
$
$
$
$
$
Total / $

Payment Information: (Limit of 4 checks per form. All checks must be in the same month. Please fill out separate form for different month)

Payee: ______Amount: $______Ck#______Payment Date: ______

(Office Use) (Office Use)

Payee: ______Amount: $______Ck#______Payment Date: ______

(Office Use) (Office Use)

Payee: ______Amount: $______Ck#______Payment Date: ______

(Office Use) (Office Use)

Payee: ______Amount: $______Ck#______Payment Date: ______

(Office Use) (Office Use)

Budget names to choose from: Administration, Discipleship, Children, Kids Camp, Cares, Missions, Maintenance, Preschool, Pastoral, Rush, Angel Tree, Programming, Welcome Center, Shepherding, Funeral, CAT, and Youth