Union Baptist Church
CHECK REQUEST
(Please Print Clearly)

Requested By:Date:
Ministry:Phone #:
Ministry Head:


Amount of Check $                            Date Needed: _________________

Check One:             Advance o                   Reimbursement o

Make Check Payable To:
(Verify Correct Spelling)

Purpose of Check:
(Attach Related Receipts)___________________________________________
___________________________________________
___________________________________________
___________________________________________
Date of Event:___________________________________________

Requestor’s Signature___________________________________________
Date
Ministry Head’s Signature___________________________________________
Date


Do Not Write In This Box
Trustee Data:                                Check#                        Category