Complete all areas shaded in yellow, staple original documentation, and forward to Accounts
Payable. CHECK REQUEST VOUCHERS are commonly used to pay the following
expenditures: subscriptions, dues, registration fees, and for prepayment of
Voucher No: __________________________
TRAVEL <$2500.00. This form may not be used for Travel Reimbursement Purposes.
Travelers should use the Travel Reimbursement Form.
City, State, Zip:
Soc. Sec # or Tax ID #:
* Please do not abbreviate.
Justification for Check Request:
Initiated By & Date:
Dept. Head or Dean
Approval & Date:
FOR ACCOUNTS PAYABLE USE ONLY
Vendor # Invoice # Payable Date Amount