Check Requisition Form

Requested By Name

Requested By Email

This address will receive a confirmation email

Requested By Phone

Today's Date

Please check one:

Mail check Will pick up check from office

"Pay To" Name

Amount of Request

Amount of Tax

Due Date

Purpose of Request

If the request is for mileage reimbursement, please indicate the number of miles here. We use the current IRS accepted rate for charitable organizations of $0.14/mile which is set by statute.

Invoice # (if applicable)

Attach receipts, invoices or other documentation to justify payment. Important, if this is the first time that this vendor has been used and the amount is more than $600, please attach or provide to the church office a W-9.

Upload (8MB)

Explanation of Request

Ministry Management:

It is the responsibility of the ministry to maintain adequate records so funds will not exceed the budget amount. If the amount is less than $2,500, we will most likely expense this using the Budget Code you provide below.

Current Balance

Requested Amount

Ending Balance

I am acknowledging approval of this expense, by entering my name in the box below which acts as a digital signature on this form.

Electronic Signature

Description

This form is for the use of St. Mark's leadership, members, and associate members only. ***This form should be submitted by the person responsible for the budget line item.***

Please fill in all information completely. Please do not ask vendors to complete this form. Attach receipts, invoices, or other documentation to justify the payment. Important, if this is the first time that this vendor has been used and the amount is more than $600, please attach or provide to the church office a W-9.

If you have problems with completing this online form, please get a form from the St. Mark's UMC office.
To get payments using this form, please fill this out no later than 12:00 noon by the 9th or 23rd of the month.

Check Requisition Form

Description

Please Fix the Following