Application for Revolving Fund Checking Account

							                       UNIVERSITY OF WASHINGTON
                       APPLICATION FOR REVOLVING FUND CHECKING ACCOUNT
                       FINANCIAL SERVICES, BANKING & ACCOUNTING OPERATIONS
                       BOX 351120

 ACCOUNT INFORMATION
Name of Fund                                                                                                                      Amount of Fund

Custodian(s)

Describe Purpose of Fund




Department                                                    Contact Name                                                        Telephone Number


                                                                                                                                  Box Number

Usual Budget Name(s) for Charges                                                                                                  Budget Number(s)




 BANKING INFORMATION
     Accounts must be established only at commercial banks chartered in the State of Washington. Obtain a Bank of America signature card from Banking and
     Accounting Operations or a public funds signature card from the bank of choice. Complete the signature card to include signatures of all authorized
     custodians and attach to this form. Bank of America cards will be forwarded with the check to the Bank to establish the account. All other bank
     signature cards will be returned to the department with the check to establish the account once it has been approved. DO NOT ESTABLISH AN
     ACCOUNT NUMBER UNTIL WRITTEN APPROVAL FOR THE ACCOUNT HAS BEEN RECEIVED. Notify Banking and Accounting Operations of
     the account number once the account is opened.

Bank                                                                           Branch

Mailing Address of Bank       (Street)                                         (City)                                   (State)       (ZIP)



 BANK OF AMERICA POSITIVE PAY INFORMATION
     Fraud prevention is vital to protect your checking account. Bank of America provides a program called Positive Pay in which all checks clearing the
     bank are screened. Bank of America accounts must participate in this program. Each account is require to provide a dollar maximum for their checks.
     Any check for that account passing through the Bank over the limit will appear on a report to Banking and Accounting Operations and they will contact
     the department to verify the validity of the check. If found to be fraudulent, the Bank will be notified and the payment stopped.


Establish limit for checks    Who should be contacted?                                                         E-mail address of Contact
written on account
 $
 APPROVAL SIGNATURES
Department Head or Principal Investigator Signature



Financial Services Approval Signature



UoW 1931 (Rev. 6/07)

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