COMPTROLLER'S OFFICE
ALABAMA A&M UNIVERSITY | www.aamu.edu | (256) 372-5205
Payee Name: Payee ID:
Encumbrance/PO Number: Request Amount:
Travel Dates:
Return Receipts Date (last day of travel plus 5 business days) :
I understand and agree that:
Requestor's Signature D
ate
3.
I am personally liable for any breach of the above stipulations and agree that and hereby
authorize any such breach to be withheld/deducted from my first available payroll check or
direct deposit.
Request Information
Certification
Advanced Payment Responsibility
Acknowledgment (APRA) Form
This form should be completed and submitted with all travel advance requests. A travel advance will not
be issued without this form. The requestor must sign this form; representatives may not sign in place of
the advance recipient.
I,____________________________________, certify that the payment requested/referenced above is
an advance payment for which I will submit receipts and any unused funds to the Comptroller's
Office (Cashier's Window) by the Return Receipts Date indicated above, but not later than five
(5) business days after the date of this form or the end date of travel.
1.
Any funds not used per the original submission must be remitted to the Cashier's Window
and a receipt must be obtained.
2.
I must submit a copy of the receipt obtained from the Cashier's Window for unused funds,
to the Comptroller's Office as part of my Travel Expense Report, by the Return Receipts Date
listed above.
A
4. The amount I receive may be less than the am
ount requested and I will only be liable up
to the amount received.
