BUSINESS MEAL AND NON-INSTRUCTIONAL
FOOD CERTIFICATION FORM
T
his form must be filled out when purchasing food, refreshments, or non-instructional grocery items. This
includes purchases from restaurants, grocery stores, or other non-restaurant businesses. This includes
purchases for donor related events, departmental meetings, open houses or other approved activities.The
original, itemized receipt(s) along with any other necessary documentation must be attached.
EXPENSE AMOUNT: DATE OF FOOD EXPENSE:
NAME AND ADDRESS OF BUSINESS:
B
USINESS REASON: □ Recruitment □ Training Function □ Student Function
Other
(explain the nature of the business benefit):
N
AMES AND EMPLOYERS OF THE OTHER PARTICIPANTS (use a separate sheet, if necessary):
NAME
EMPLOYER/AFFILIATION
1.
2.
3.
4.
5.
6.
TRAVELER/PURCHASER PRINTED NAME: T#:
TRAVELER/PURCHASER SIGNATURE: DATE:
A
PPROVING AUTHORITY’S PRINTED NAME:
(VP, Dean, or President of the University)
A
PPROVING AUTHORITYS SIGNATURE: DATE: