Staff Resources

The information on this page is for City of Angels ICC staff only. Please get approval through your region or sector leader for access. 

Benevolence Form Instructions

This form is used to request benevolence

How to complete this form:

  1. Approval Process:
    • Request needs to come to the Region Leader
    • Region Leader determines if request is valid, then requests approval from Tim Kernan
  2. Attach any accompanying receipt(s) to the back of the form.
  3. This form will not be accepted without a social security number.
  4. Need to have the requestor’s signature
  5. Need to have ministry approval’s signature; only Tim Kernan can sign.
    • If one of the signatures is missing, the form will be returned to you as incomplete.
  6. To receive a check on Tuesday, these forms need to be submitted by midnight on Sunday to
  7. check.request@usd21.org When the physical form is submitted on Tuesday, it will take one week turn-around time for the check to be processed.

    If you need training with filling out the form Please reach out to Ryan.Keenan@usd21.org

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