Mentone SDA Church

Cash Reimbursement or Advance Request Form

Date submitted

Request ID

Check one

Reimbursement Advance

Payee name

Zelle (phone or email)

Your email (for status updates)

We’ll email you when a leader approves your remote sign-off and sends it to Finance. If Zelle is already an email, you can leave this blank.

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Total expense $0.00

Less advance

Reimbursed amount $0.00

upload_file

Drag & drop receipts here

or click to upload · JPG, PNG, HEIC, or PDF

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Payee signature

Mouse or finger

Department Head / Ministry Leader

Can sign remotely while out of town

Submitted requests are emailed to [email protected] with the form PDF and receipts attached.

Reimbursement Request