Fund Request Form
Please submit your request a minimum of 14 days prior to the date the funds are required.
Submitted by (include first and last name): *
Your answer
Phone Number: *
Your answer
Email Address: *
Your answer
Date Required: *
Expense Type: *
Expense Purpose: *
Your answer
Amount Requested: *
Your answer
Payable To: *
Your answer
If payable to an individual or other non-corporate entity, have you submitted a completed Form W-9 to *
Is this a recurring expense: *
If the check is to be mailed, please include the address below:
Your answer
Which Leadership Council Leader approved this request: *
Budget Classification: *
Have you sent all supporting documentation (i.e. invoices, receipts, etc.) to the Business Office ( *
Have you read the instructions below: *
-Please use a separate form for different fund types and/or vendors.
-Debit card purchases are only allowed by Staff and Administrative cardholders.
-Online purchases requiring a debit card must be made in the business office.
-Reimbursements will not be fulfilled if prior written approval was not given for the expense.
-Amounts spent above the approved requested amount will be considered a donation unless prior written approval was obtained to spend additional funds.
-To expedite processing, you must have approval from the Executive Administrator in writing before submitting the request to the business office.
-Collected monies for an event/program should be turned in a minimum of 7 days prior to the date required.
-If the requestor has outstanding fund requests, future requests will not be fulfilled until prior ones are closed out.
-All requests will be processed and placed in your ministry box in the admin office or mailed on Tuesdays.
-Please submit receipts, and monies back to the business office in a Follow-up Fund Envelope within 7 days after your event/program.
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