Reimbursement Claims

Your Name (required)

Your Email (required)

Description of Expense

Ministry Team

Expense Date YYYY-MM-DD

Expense Currency

Expense Amount

Preferred Method of Reimbursement
CheckDeposit (Belgian Banks only)


Account #

Attach Receipt Here

Attach Receipt Here

Attach Receipt Here

(required) By checking this box and submitting this form you agree that this is a legitimate expense for IBC Jurbise that it has been coordinated with the proper ministry team leader and that you have attached your receipt(s) or will provide receipts to the treasurer at your earliest opportunity.