Fillable ReqEmpVin10-18-05 ARKANSAS TECH UNIVERSITY

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ReqEmpVin10-18-05 ARKANSAS TECH UNIVERSITY

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Form ATU-084
ATU REQUEST FOR EMPLOYEE VIN: Date: _________________
BEFORE ENTERING YOUR REQUISITION FOR TRAVEL, complete this form and fax to the
Purchasing Department (968-0633). We will enter the information into the FRS system, note the
assigned vendor number and return this form to the fax number listed below. If you have questions or
need assistance, please call Purchasing at 968-0269.
E
From: ________________________________ ____________________________
(Department Name) (Departmental Fax No.)
Employee’s Name
Address No: 00
OFFICE ADDRESS
Building & Room No.
Street Address
City, State, Zip
Russellville, AR 72801-2222
Telephone No.
E-mail Address
Requested By: ______________________________________
(Signature)
Approved By: ______________________________________
(Signature of Immediate Supervisor)
FOR PURCHASING USE:
Date
Entered:
Initials:
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ReqEmpVin10-18-05 ARKANSAS TECH UNIVERSITY

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Completed 12 February 2020

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