ARKANSAS TECH UNIVERSITY P-CARD TRANSACTION CHANGE OR CORRECTION
Submit completed form to the Purchasing Department. IF THE CHARGE HAS
ALREADY BEEN PAID, submit completed form to the Controller’s Office,
Administration Building Room 206.
SUPPORTING DOCUMENTATION MUST BE ATTACHED.
Date: _____________________________________
Requested By: _____________________________________
(Name of Department or Office)
Account Number & Object Code: _____________________________________
Transaction Amount: $ ______________________
Change/Correct Account No. To: _____________________________________
Change/Correct Object Code To: _____________________________________
Reason for Change/Correction: _____________________________________
_____________________________________
Change Requested By: ________________________________
(Signature)
Approved By: ________________________________
(Signature of Immediate Supervisor)
REQUESTS FOR CHANGES IN ACCOUNT NUMBER IF THE ABOVE CHARGE HAS ALREADY BEEN
MUST BE MADE WITHIN 60 DAYS AFTER THE PAID, INDICATE THE CHECK NUMBER AND
CLOSE OF THE PERTINENT BILLING CYCLE. DATE OF CHECK BELOW. (SEE SCREEN 118).
FOR USE BY CONTROLLER’S OFFICE: FOR USE BY REQUESTING DEPARTMENT:
Reviewed By:
Check Number:
Date:
Check Date:
