OLOL CCW Reimbursement Form

This form is to be used to request a reimbursement from OLOL Council of Catholic Women. When you click "submit" the form will be sent to the CCW treasurer and a copy to you.

If you have more than 3 categories, you will need to submit another reimbursement request.

THE REIMBURSEMENT WILL NOT BE PROCESSED UNTIL ACTUAL RECEIPTS ARE SUBMITTED TO THE TREASURER (OR CHURCH OFFICE).

You may attach photos of your receipts using the "Photos or Scan of Receipts" at the bottom of this form.

Incomplete or incorrect forms will not be processed.

Today's Date Today's Date * / MM / DD YYYY
CCW Member Name CCW Member Name * First Last
Email *
Make Check Payable to: *
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Total Reimbursement Amount * $ Dollars . Cents
Description of Expense *
Reimbursement Category 1 *
Reimbursement Amount 1 * $ Dollars . Cents
Reimbursement Category 2
Reimbursement Amount 2 $ Dollars . Cents
Reimbursement Category 3
Reimbursement Amount 3 $ Dollars . Cents
Photo or Scan of Receipt(s)

Please remember that the REIMBURSEMENT WILL NOT BE PROCESSED UNTIL ACTUAL RECEIPTS ARE SUBMITTED TO THE TREASURER (OR CHURCH OFFICE).

To attach photos of your receipts Click "Choose Files" below, or put them in the CCW box at church.

Attach Files

If you fill this form out on on a phone or tablet, you can take a photo of the receipt. Or, if you are on a computer, you can upload a scan or photo of the receipt.