CENTRAL CONNECTICUT STATE UNIVERSITY FISCAL YEAR DOCUMENT NO.
JOURNAL ENTRY REQUEST FORM
INDEX - ACCOUNT AMOUNT DEBIT ENCUMB #
Item
Seq INDEX - ACCOUNT AMOUNT
CREDIT
ENCUMB #
Item
Seq
(D) * (If Applicable) # # (C) * (If Applicable) # #
DESCRIPTION (35 characters):
TOTAL DEBITS: TOTAL CREDITS:
JUSTIFICATION FOR JOURNAL ENTRY:
REQUESTED BY:
PHONE:___________________
DATE REQUESTED:
BUDGET MANAGER (print/type name):_____________________________________
BUDGET MANAGER (signature):______________________________________
BUSINESS OFFICE APPROVAL: DATE APPROVED: POSTED BY: DATE POSTED:
EFFECTIVE DATE:
ACCOUNTING/BUDGET USE ONLY