Check Approval Request Form

"*" indicates required fields

To be completed for all check reimbursements, invoice payments, and checks to individuals.

Date*

Issue a check in the amount of:*

Payable to:*

Individual

Organization

Name of Individual

First Last

Name of Organization

Individual's address of who is to be paid:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Organization's address of who is to be paid:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Is the check to be mailed to the address listed?*

Yes

Individual's Email*

Organization's Email

Phone Where a Text Can Be Received

If no, please leave instructions as to where to leave/send the check:

ACCOUNT DISTRIBUTION

If you would like to add more than one distribution, please click the + button to the right of the field.*

Line item to be charged

Debit (Credit) Amount

Reason for payment:*

Do you have digital receipts to upload as documentation?*

Yes

No, no further documentation is available

Upload digital receipts here*

Drop files here or

Max. file size: 20 MB.

Name*

First Last

Once you click submit, this check request will be received by the leaders approved by the session to authorize such requests. Authorization and payment may take 7-10 days. Contact finance@hillwoodpc.org with questions.

**Office Use Only**

Staff Member- I approve this expenditure

Finance Administrator- I approve this expenditure

Name of Staff Member Approving Expenditure

First Last

Date

Signature

Name of Financial Administrator Approving Expenditure

First Last

Date

Signature

This field is for validation purposes and should be left unchanged.

HILLWOOD PRESBYTERIAN CHURCH

HILLWOOD PRESBYTERIAN CHURCH

Check Approval Request Form

To be completed for all check reimbursements, invoice payments, and checks to individuals.

ACCOUNT DISTRIBUTION

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615-352-6310

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