Childcare Reimbursement Request Form and Policies

  1. Reimbursement will be paid for 3 hours at the rate of $8/hr. for approved church events.
  2. Forms are to be completed by the person requesting reimbursement.
  3. Completed forms must be returned within 30 days of the event
  4. A separate request form should be completed for each event.
Name *
Name
Address *
Address
Phone *
Phone
Date of Service *
Date of Service
$