Reimbursement/Payment Request

If you have purchased supplies or need payment for a First Parish activity, you can request reimbursement using this form.  Please include which account should be charged.  If you’re not sure, include a description of the committee or activity the purchase or payment was for.

Reimbursement or Payment Request


Next Steps: Install a Payment Add-On

To accept payments on this form you will need to install one of our payment add-ons. To learn more about your payment add-on options, visit the following page ( Important: Delete this tip before you publish the form.
Your Name(Required)
Your Email(Required)
Full legal name of the person/company receiving payment (payee).(Required)
Payee's email address(Required)
Full mailing address of person/company receiving payment.(Required)
Include the line item if known OR verbal description of committee or function for accounting purposes.
MM slash DD slash YYYY
Drop files here or
Max. file size: 128 MB.
    If you are requesting reimbursement you are required to submit a copy of your receipts. PDF or JPG files are preferred. No word processing documents will be accepted. Please note that requests submitted take 2-3 weeks to process. If you would like to check on your request or if you have still not received a check after 3 weeks, you may email to inquire after your submission.
    MM slash DD slash YYYY