UNIVERSITY OF ALASKA
BOOK TRANSFER REQUEST FORM
*Requested by:
*Date:
*Authorized by:
*Date:
*Phone # & Univ:
CASH MANAGEMENT:
Verified/Approved by:
JV#
*Indicates required field
NO ELECTRONIC SIGNATURES ARE ALLOWED SUCH AS DOCUSIGN. THIS DOCUMENT CONTAINS PII
AND CONFIDENTIAL BANKING INFO. IN ORDER FOR FUNDS TO BE SENT, AUTHORIZED SIGNER
MUST APPROVE AND SUBMIT THIS REQUEST VIA EMAIL TO UA-CASH@ALASKA.EDU.
03/20
TRANSACTION INFORMATION:
*Transfer Amount (U.S. Funds):
*Transfer Date:
WITHDRAWAL FROM (DEBIT):
*LAST 4 of Account number:
DEPOSIT TO (CREDIT):
*Account name:
*LAST 4 of Account number:
*Comments: