SOUTHERN UTAH UNIVERSITY
AUTHORIZATION FOR ADVANCE
(Must be submitted at least 5 days before advance is required)
Date _____________________
864800-1635
Personal Account
TO: The Controller
Campus
I hereby request an advance of $ by
For the following purpose: (Date)
1. Travel of University Business. (Yellow copy of Travel
Authorization must be attached.) I certify that the amount
requested is not in excess of 75% of estimated cash outlay and
does not include auto transportation. (No advance will be made for
less than $30.00.)
ADDITIONAL PAYEE CERTIFICATION AND AUTHORIZATION:
2. I hereby authorize the charge of this advance to my personal
account.
3. I hereby certify that I am an employee of Southern Utah University
4. I hereby authorize the assignment of the amount of this advance or
any part thereof from wages, reimbursement, or other
compensation that may become due me from the University.
5. I understand that travel or other reimbursement forms supported
by itemized and receipted invoices must be submitted at once
when the trip or emergency is over and that the deduction
authorized in (4) above will be applied if reimbursement form and
full repayment of advance is delayed more than 10 days.
Signature ______________________________
APPROVED
Amount: $__________________ _______________________________
Accounts Payable Supervisor
