EXPENSE REPORT - REQUEST FOR REIMBURSEMENT

Please complete the information on this report and click Submit in order to be reimbursed for expenses during a council or assembly event. A report is automiatcally sent to the Grand Knight, Financial Secretary and Treasurer. If there are any questions, please contact PGK Jim Maslach for assistance.

BRING RECEIPTS TO NEXT BUSINESS MEETING!

CHECK WILL NOT BE CUT UNTIL RECEIPTS ARE RECEIVED.

Payee Information

Make Check Payable To *

Street Address

Address Line 2

City

State

Zip Code

Phone Number

Expense Information

Check Request Date * +

Membership No. *

Requestors Name: *

Requestors Email Address *

Confirm Email Address *

KofC Group? *

Event Type * 🛈

Account

Event Name *

Event Date * +

Amount Requested *

Other Explanation