Check Request Form
This form is used for purchases and reimbursement at St. James Community. ALL CHECK REQUEST MUST BE SUBMITTED BY MONDAY 5:00PM for same week distribution.
Name *
Telephone Number *
Email *
Type of Check *
Was this check pre-approved? *
If the answer is yes who pre-approved your check *
What date are you requesting for this check to be ready? *
MM
/
DD
/
YYYY
Please type the name and amount on each check (s). *
Please email any copies of receipts, contracts, or other important documents to ebony.only@outlook.com Are you sending any documents to Ebony Only?
Clear selection
Check Disbursement *
Address if we are mailing check.
Submit
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