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EMPLOYEES OR STUDENTSEmployee ID or Student ID VENDORSVendor ID
REQUIRED for Employees/Students REQUIRED for Vendors
CHECK DISTRIBUTION INSTRUCTIONS: Date Required ___
☐ Mail ☐ Mail with Attachment(s) ☐ Pick-Up: Call ___ x
○Mail ○Mail with Attachment(s) ○Pick-Up: Call ___x___
PLEASE TYPE OR PRINT LEGIBLY
1. Contact Name Contact Phone
2. CHECK INFO Name
Address 1
Address 2
City State Zip
PURPOSE
FOAP & AMOUNT Index (6 digits) Fund (6 digits) Organization (6 digits) Account Code (6 digits) Program (4 digits) Amount
TOTAL
5. APPROVALS Requester Print Name Signature Date
Account Administrator Print Name Signature Date
Account Administrator (if multiple funds or organizations) Print Name Signature Date
Account Administrator (if multiple funds or organizations) Print Name Signature Date
Vice President (required if TOTAL > $19,999.99); VP or ASVP of Student Affairs required for all student organizations.\nPrint Name Signature Date
President (required if TOTAL > $39,999.99)\nPrint Name Signature Date
SUBMIT ORIGINAL TO ACCOUNTS PAYABLE WITH REQUIRED SUPPORTING DOCUMENTATION. TO ENSURE PROMPT