125 Thomas Boyd Hall Baton Rouge, LA 70803 P 225-578-3357 F 225-578-3969 bursar@lsu.edu
Louisiana State University
Office of Accounting Services
Bursar Operations
125 Thomas Boyd Hall
REQUEST FOR MISCELLANEOUS ACCOUNT NUMBER AS547
To request a Miscellaneous Account Number, please complete this request and e-mail it to bursar@lsu.edu or fax the request to
225-578-3969.
Once the Miscellaneous (MOT) account is established, the requestor will be notified via e-mail. For any assistance with the
established account, please contact Laurie Meyer at lzalfe@lsu.edu
.
SECTION 1: REQUESTOR INFORMATION
SECTION 2: ACCOUNT/CONTACT INFORMATION
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FOR ACCOUNTING SERVICES USE ONLY
LSU Miscellaneous Account Number ________________________________________________
Approved by ______________________________________________________________ Date ______________________
Name LSU ID
Department E-mail
Phone Number Fax Number
Reason Needed
Company Name Phone Number
Billing Address
City
State
Zip Code
Contact Name Contact Phone Number
Contact E-mail Work Order # (Facilities Services Only)