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CALIFORNIA STATE UNIVERSITY, LOS ANGELES AFTER-THE-FACT SUBMISSION (California State University, Los Angeles)

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CO Tracking Number *
CALIFORNIA STATE UNIVERSITY, LOS ANGELES
“AFTER-THE-FACT” SUBMISSION
Name (If individual): ___________________________ Name of Company: __________________________________
Phone: _____________________________________ Email: ____________________________________________
If Foreign National, Country: ____________________ Visa Type (if applicable)*: _______________________________
Department: _________________________________ Department ID: _____________________________________
College/Division: _____________________________
Unauthorized financial commitments require that any requisition or invoice submitted “after-the-fact” must be
accompanied by this form signed by the appropriate authorized administrators justifying the reason for the
deviation from CSU policy. Pursuant to ICSUAM 5412.0, Section 100, except in cases of emergency to protect
human life or State property, work shall not commence on any contract until the contract has been approved
by the appropriate authority. Any work performed by the contractor before the date of approval can be
considered as having been done at the contractor’s own risk and as volunteer work.
The explanation below should include the circumstances surrounding the reason for the delay and why
appropriate authorization could not be secured in advance of the services being rendered and/or prior to receipt
of goods.
Please note insurance waiver requests will not be acknowledged for these submissions and costs associated
with any liability will be assessed to the College/Department.
Explanation:
Department Administrator (Print Name) Signature Extension Date
Dean/Senior Administrator (Print Name) Signature Extension Date
Division Vice President (Print Name) Signature Extension Date
Signature Extension Date Associate Vice President for
Administration & Finance (Print Name)
Submit the completed form with all appropriate signatures to Procurement and Contracts with all necessary documents.
*For Independent Contractor Pre-Hire Worksheet only. Forward completed form with all appropriate signatures and Pre-Hire
Worksheet to: bfstaxcompliance@calstatela.edu. Upon receipt, the Controller's Office (CO) will have five (5) working days to review
and inform the department administrator of final determination.
Form AF1-0002 (Rev.01/22/20)
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CALIFORNIA STATE UNIVERSITY, LOS ANGELES AFTER-THE-FACT SUBMISSION (California State University, Los Angeles)

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Completed 22 July 2020

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