VOLUNTEER STATE COMMUNITY COLLEGE
Check Request
Date ____________________________________________
Payee/Vendor ____________________________________________
Ad
dress ____________________________________________
____________________________________________
____________________________________________
City/State ____________________________________________
Zip _______________________
_____________________
Purpose
I am being asked to travel on behalf of VSCC. The advanced cash outlay required for this trip places a financial burden on me. For that
reason, I am requesting a travel advance. I understand if I do not make the trip, those proceeds must be returned to VSCC immediately.
I further understand money advanced will be deducted from the amount due to me as a result of this trip. (Please note that if this box is
checked, the check request must be signed by the person who will be traveling).
_______________________________________________________________________________________________________
Requested by ______________________________________ Date _____________
Dean/Dept. Head/Supervisor ____________________________________ Date _____________
Vice President, Division ______________________________________ Date _____________
VP, Business and Finance ______________________________________ Date _____________
President ______________________________________ Date _____________
Attach copies of invoices, sales slips, requisition on prepaid expenses, or meal reimbursement request form if applicable.
Cr
eated 11-01-2005, Revised 09-17-14
Account Code Information: COA __Vol State __Foundation
FOAP Fund
____________ Organization ____________ Account _____________ Program _________
or
Index Index ____________ Account _____________
Check Disposition (Mark only one option)*
Option 1 _____ Mail to address shown above _____ Backup information attached to mail with check
Option 2 _____ Email for pickup Name _________________________ Email Address _______________________
*Please note that employee reimbursements are now issued as direct deposit to your bank account. Checks eligible for pick up in the Business Office
include checks for bands, speakers, food, car tag renewal, travel advance, conference registration, and hotel payments. All others will be mailed.
IMPORTANT NOTE: SUBMISSION FOR PROCESSING OF THIS CHECK REQUEST IS ACKNOWLEDGEMENT THAT THE GOODS
AND/OR SERVICES FOR WHICH THIS DOCUMENT HAS BEEN COMPLETED HAVE BEEN RECEIVED BY THE INSTITUTION.
Ve
ndor Number ________________________
Amount _______________________________
Date Check Needed _____________________
To be
completed by Business Office:
Do
cument Number ______________________
Entry Date _____________________________
