CHEQUE REQUEST FORM - DOC by zzc14341

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									                              CHEQUE REQUEST FORM
          Instructions
               1. Complete the information below
               2. Print the completed form.
               3. Please provide information about each item being expensed.
               4. Attach relevant receipts.
               5. Deposit hard copy in the SLS mailbox in the G.O. addressed to Miriam Villamil.
               6. Email digital version to slsvpf@uwindsor.ca.
          Cheque Requested by:
          Cheque payable to (include
          email address):
          Date of Request:
          Committee/Club:
          Description of Expense:
          Receipts Provided?
          Do you want VP Finance to mail cheque direct to payee?
              Yes     No
          If yes, please indicate where to send cheque:__________________________________

          If you are submitting a claim for a club, was this an item which was purchased as part of
          your approved SLS Club Funding?          Yes      No

Item Purchased                Committee/Club AND Event for   Total Amount     Total Amount Requested (incl.
                              which Item was Purchased       of Item          taxes)
 1

 2

 3

 4

 5

 6

 7

 8

 9

10

11

                                              Total Amount Requested

          PLEASE ATTACH RECEIPTS.

          FOR OFFICE USE ONLY:
          Disbursement Approved:
          Cheque No:
Account Updated:

								
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