ADVANCE REQUEST FORM ( used to request funds PRIOR to event )
Today’s Date: _________________ SUBMIT TO: Accounts
Payable Office
MAKE CHECK PAYABLE TO: _____________________________________ ADDRESS: _________________________________________________ _________________________________________________ _________________________________________________ AMOUNT OF CHECK TO BE ISSUED: $_____________________________ FOR EXPENSE INCURRED: (Dates of Event or Travel) ____________________ GL ACCOUNT NUMBER: _________________________________________ EXPLANATION OF EXPENSE: ____________________________________ __________________________________________________________ __________________________________________________________ Requested by: ___________________________________________ By signing I agree to clear the advance within 15 days of the event date Failure to comply with policy could result in expense being disallowed and/or being recognized as taxable income to the employee. Budget Officer Approval: ________________________________
