Check Request Form

Use this form to request a reimbursement from Grace on behalf of someone else. Check requests are generally processed on Sunday nights and checks will generally arrive via mail within about two weeks of being processed.

Check payable to

Recipient NameAddress

CityStateZip

Total amount to be reimbursed

$0.00

Calculated automatically from the transactions below

Receipts

If a receipt covers multiple ministry areas or accounts, split it into separate transactions below.

Receipt 1

Receipt total for this transaction

Upload receiptAccepted file types: JPG, PNG, HEIC, or PDFDescriptione.g. "Costco – food for Women's Day Away breakfast."

AccountMost common reimbursement requests are for "supplies" or "food."ClassPlease select which ministry area your purchase falls under.

If the account or class you need is not listed above, select "other" and fill in correct account.

Your information

Your nameYour email

Today's date

I confirm that this check request is accurate and I approve it for reimbursement.