Expenditure Request Form

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This amount is not included in the "Total Amount of Request" since it is being transferred to another A.C.T. Intl Dept.



The Home Office must have this person's bank account information to make this Direct Deposit.


Check
Cutting and mailing checks will no longer be the method used, unless no other option is available, to reimburse staff members and pay vendors.

Please choose Direct Deposit unless check is the only method that will work.
Wire Transfer & Banking Services
Banks and transfer services vary on what is required, so provide as much of the information requested below as possible.

If additional information is needed, someone from the HO will contact you.
Direct Deposit
The following information is needed for a Direct Deposit. Please provide it below, or if you'd prefer, call the ACT Intl Home Office (615-378-7861) to provide this information.
Not required if you do not know, but it is helpful to verify the info provided.



Relief to the Needy
As a ministry organization, it is expected that you are using your department funds to meet the needs of those the Lord puts in your path as you are able. As a 501(c)(3) organization, we are required to provide documentation to verify that these gifts are benefiting individuals in an appropriate manner.

Please provide the information requested below for us to keep in our records. You do not need to go into great detail, but we need you to provide enough information so that if we were audited by the IRS, the auditor could determine that this ‘relief to the needy’ is truly given to someone or some project that is truly ‘in need.’ 

It is recommended, but not required, that ACT Intl departments pay for goods and services for individuals rather than making cash gifts. By paying for goods and services, ACT Intl may ensure that the assistance provided is being used in furtherance of its exempt purposes.




Grants Given by ACT Intl
An ACT Intl Department may use their Department Funds to give Grants to other government sanctioned charitable organizations if the mission of that organization is in line with the mission of your Department and ACT Intl, and if the mission is accountable to use the Grant for the purposes for which your Department is giving the Grant.

Grants cannot be disbursed as Reimbursements. Grants must be paid directly to the organization from the Home Office, so choose Payment to another person/vendor/organization with a Check, Wire Transfer, or Direct Deposit as the Type of Disbursement.


For USA 501(c)(3) organizations or churches, please provide the information requested below.




Finish completing the disbursement request below.
For charitable organizations that are in any country other than the US, approval must be granted by the ACT Intl Executive Leadership Team before you can send any money to the organization. 

You must submit this Request Form to get approval before requesting to send this Grant - https://www.tfaforms.com/4830316
Schedule a meeting for counsel on giving Grants before completing this request.
https://go.oncehub.com/Staff-Development

Employee Benefits
You are no longer able to request reimbursement for the following expenses using this form:
6510 Dental Insurance
6511 Disability Insurance
6512 Life Insurance
6525 Retirement Insurance

You are able to use your department funds for these expenses, but since there are several potential income tax implications and options for some of these expenses, please click here to schedule a meeting with a member of the Staff Development Team, to discuss.


20 MB limit for the total size of all uploaded files in this form.

Round to nearest mile. No decimals.
Notice: IRS Mileage Rate
  • The IRS Mileage reimbursement rate for travel in 2025 is 0.700
  • The IRS Mileage reimbursement rate for travel in 2024 is 0.670
  • The IRS Mileage reimbursement rate for travel in 2023 is 0.655
Form is not smart enough to round to 2 decimal places, but the Office will do it when processing this report.
Upload mileage documentation below (Google map, mileage log)

20 MB limit for the total size of all uploaded files in this form.


Form is not smart enough to round to 2 decimal places, but the Office will do it when processing this report.
No additional documentation or receipts are required for per diem.
Form is not smart enough to round to 2 decimal places, but the Office will do it when processing this report.

Contact Sharon (Sharon@actinternational.org) if you have any questions.
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