Payment Request

Payment Request


Start	Services	Purchases	Travel	Confirm

Dear volunteer, contractor, or employee:

This form serves as Journeymen's official request for payment. Please complete the form to request funds for your contracting hours as well as reimbursement for travel in a personal vehicle and/or purchases made for Journeymen activities with your personal funds.

Thank you for your service!

- Journeymen Team
Are you a contractor requesting payment for your services? *
N/A

Yes
No
Is this your first time requesting payment as a contractor from Journeymen? *
N/A

Yes
No
In addition to this Payment Request Form you will need to fill out our New Contractor Packet to receive your payment, available online at the following link: https://go.journeymen.us/new-contractor-packet

After you complete the New Contractor Forms please return to this form to request your payment.

Services
-- No Fields Available --
- Date of Activity
- Activity Name
- # Hours or Days
- Pay Rate
- Total
Add Entry Add Entry
- Date of Activity
  N/A
  
  MM-dd-yyyy
- Activity Name
  N/A
- # Hours or Days
  N/A
- Pay Rate USD
  N/A
- Total
  N/A
- Date of Activity
  N/A
  
  MM-dd-yyyy
- Activity Name
  N/A
- # Hours or Days
  N/A
- Pay Rate USD
  N/A
- Total
  N/A
Services Total
N/A

Are you requesting reimbursement for purchases made from your personal funds on behalf of Journeymen? *
N/A

Yes
No
Purchase Details
-- No Fields Available --
- Date
- Vendor/Business
- Item(s) Description
- Amount
Add Entry Add Entry
- Date
  N/A
  
  MM-dd-yyyy
- Vendor/Business
  N/A
- Item(s) Description
  N/A
- Amount USD
  N/A
- Date
  N/A
  
  MM-dd-yyyy
- Vendor/Business
  N/A
- Item(s) Description
  N/A
- Amount USD
  N/A
Attach Receipts
N/A
Upload file Capture image using webcam
Please note that proof of purchase may be required before reimbursement. Photos of receipts may also be sent to receipts@journeymen.us
Purchases Total
N/A

Are you requesting reimbursement for travel in your personal vehicle on behalf of Journeymen? *
N/A

Yes
No
Travel Details
-- No Fields Available --
- Trip Date
- Total Distance (Miles)
- Trip Purpose
- Amount
Add Entry Add Entry
- Trip Date
  N/A
  
  MM-dd-yyyy
- Total Distance (Miles)
  N/A
- Trip Purpose
  N/A
- Amount
  N/A
- Trip Date
  N/A
  
  MM-dd-yyyy
- Total Distance (Miles)
  N/A
- Trip Purpose
  N/A
- Amount
  N/A
Journeymen reimburses contractors and/or volunteers at the IRS standard rate of $.585/mile for approved travel. Volunteers may opt to track and deduct miles driven for their own tax purposes at the standard charity rate of $.14/mile.
Travel Total
N/A

Your Name
N/A

Required First Required Last
Email *
N/A
Phone *
N/A
Total Amount Due
N/A
How would you like to receive your payment? *
N/A

PayPal
Check (via mail)

If PayPal please confirm email address above is accurate. If receiving a check via mail please confirm address listed on New Contractor Packet is correct and/or send an email to office@journeymen.us if you have questions.
Signature *
N/A

E-Signature Field
Clear

By submitting this form you attest that all information entered is accurate and true to the best of your knowledge.
Entry Date
N/A

MM-dd-yyyy
Zoho Receipts Email
N/A
Verification Code *
Enter the text in the box below

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