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Please Fill Out This Form and Return it to: Accounts Payable - Mail Drop 8202 |
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Please Fill Out This Form and Return it to: Accounts Payable - Mail Drop 8202 |
| I. EMPLOYEE INFORMATION: |
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| Name: | Phone: | Mail Drop: | CSUN ID# |
| Department / Mail Drop: | Requisition #: | Destination: | |
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II. THE FOLLOWING ITEMS ARE REQUESTED:
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| 75% Per Diem | 100% Transportation | 100% Registration Fee * | |
| * (If organization will not accept American Express / Personal Credit Card, or denial of American Express credit.) | |||
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Advance
Check(s) Not To Exceed 75% of the Expenditure Limit.
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Check(s)
should not be requested for less than $ 30.00.
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| III. MAKE CHECK(S) PAYABLE TO: |
Amount: | Date Requested: |
| $ | ||
| $ | ||
| $ |
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Please notify
when the check(s) is/are ready at
, Ext.
I hereby certify that the above travel advance(s) is/are necessary to defray my anticipated reimbursable expense, while traveling on business for the State of California, away from my designated headquarters. I understand and agree that this amount may be deducted in full from any and all funds payable by the State to me, including salary warrant(s) issued to me by the State Controller. I understand that this is an advance and that upon return from my trip, I will properly submit a Travel Expense Claim Form (STD 262).
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