Reimbursement Request

Your name *

Email address *

Address

Reason for reimbursement *

Please include the name of the event or ministry, what was purchased, and how it was used.

I am requesting reimbursement for mileage

Total reimbursement amount *

How would you like to receive your check?

Please attach all receipts *

Please attach up to 5 files that include all receipts in the total amount requested. If you have more than 5 files please email the additional files to finance@thecrossing.cc with the subject "Reimbursement additional files".
If you are requesting a mileage reimbursement please include screenshots of maps for your trip or photos of beginning and ending odometer counts.

No files currently selected

Add up to 5 files. Maximum file size 10 MB.

Please provide any additional information you feel may be necessary or helpful in fulfilling this request.

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