Reimbursement – CreekHelp

Your Information:

First Name: *

Last Name: *

Email: *

Enter Email

Confirm Email: *

Confirm Email

Reimbursement Purpose:

Mileage Information:

If traveling to/from Findlay campus, the first 20 miles is not reimbursable. Please adjust your mileage below to compensate. See the mileage reimbursement policy for more information. Clicking this opens in a new window.

From: *

Where did you leave from?

To: *

Where did you go?

Beginning Mileage:

Ending Mileage:

Miles driven: *

Multiplied x .56c per mile: = $.$$ *

Officer Information:

Officer Name: *

Date Worked: *

Hours Worked:

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Counseling Reimbursement:

CedarCreek Staff Counseling Benefit

We believe that professional Christian counseling is a helpful part of the spiritual health and personal growth of our staff. To live out this belief CedarCreek offers the following staff counseling benefit for our full-time and part-time staff.

Click HERE for Benefit Details

Click HERE for Approved Counseling List

Counselor First Name:

Counselor Last Name:

Counselor Phone Number:

Approved Practice Name/Group:

Date of Visit:

Amount you Paid:

Amount to be Reimbursed:

Purchase Information:

Account #: *

Amount: *

Name / Vendor / Company: *

Todays Date: *

Reason For Reimbursement: *

Contract Labor Information:

Account Type

Amount:

Name/Vendor

Todays Date: *

Reason For Reimbursement: *

Reimbursement Process

PEA VS Budget Details

Personal Expense Acct Nos.

Ministry Expense Acct Nos.

REIMBURSEMENT REQUESTS