ASUCR Organization Requisition 25-26

ASUCR Organization Requisition

This form is to request reimbursement or payment for eligible items to student organizations/clubs provided funding by ASUCR.
Organization:*
Payee Name*

First NameLast Name
Phone Number of Payee*
Email of Payee*
Your E-mail Address
Student ID (If Payee is a Student) *
Expense Detail
Explanation of Purchase:

Expenses List: Please list one receipt per line, not each item purchased. *

Total Cost ($)
Allocation to be used for reimbursement
Payment Type:*

Progressive Graphics (Direct Payment)Campus Department/LedgersReimbursement via ZelleReimbursement via Direct DepositReimbursement via Bank of America (Must have an account with Bank of America)
Bank Account Type:

PersonalOrganization
If Reimbursement is selected, please provide the name and zelle information for the payee:
If payment to Progressive Graphics is selected, please note the following instructions: -
- upload the quote in the documentation section below
- include the print preview of the item showing the ASUCR Logo
- ensure that you are using the correct ASUCR logo
If reimbursement via direct deposit is selected, please complete this form:

Direct Deposit Form (This will open up in a new tab once selected)
If reimbursement via Bank of America is selected, please note that you must have an account with Bank of America and list that account for reimbursement on the direct deposit form.

The zip code on the direct deposit form must match your bank statement.

Direct Deposit Form (This will open up in a new tab once selected)
Receipts/Document Upload*

Cancelof
Meeting Sign-in Sheet:

*for reimbursements for food at org meetings.
Cancelof
I certify*

I certify that all information entered above is valid and true.
If you are completing this form on behalf of someone else, please list your name:

First NameLast Name
Email
example@example.com
Should be Empty:

ASUCR Organization Requisition