Reimbursement Check Request Form

Instructions Please fill out this form and upload receipts if you made purchases on behalf of St. James. A reimbursement check will be issued to you or your church organization upon approval of those expenses. If you would rather print a form to complete and turn it in to the St. James office please click on the link above. Thank you for all you do for this parish.
Amount Requested *
Person Making Request *
Your Email Address *
Your Phone Number *
Description of Purchase *
Account to be Charged *
Check Payable To *
Where do you want the check delivered? *
Leave with church secretaryLeave in organization's box in parish hallMail a check to the address below
Mail Check To
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Check Needed By *
Receipt Upload *Upload a file of the purchase receipts. These can be png, jpeg, gif, or pdf format.
Email
Email