Request for Reimbursement
(Use this to request payment for out of pocket expenses.)

Please Select the Account You Spent From:

General Trinity Mission & Outreach Episcopal Youth Mission
Name SS# 
Address Amount Requested $ 
City/State/Zip Email

This request will be pre-processed by the office and your check will be cut within 7 days. 
REQUIRED NOTES- 

* A copy of the invoice must be provided when check is picked up. 
* Checks MUST be signed for by an authorized department head.
* Checks cannot be made out to the person authorizing the expense. 
* Do not use this form to request a check be made out to an outside company ! Use This

Describe what this bill was needed for:

Please check off the category below:

Communication Music Clergy Youth Group
Property Church School Outside Donation EYM
Real Men Cook St. Mary's Needy Family IHN
Hospitality Formation Carnival Administration
Other -

Authorized By -