Skip to content
Check Requisition Form
admin
2023-02-22T07:21:10-05:00
ETERNAL LIFE'S CHECK REQUISITION
Name payable to
*
Requested by
*
Address
*
City
*
State
*
Zip
*
Date requested
*
Date of purchase
*
If you do not receive a written approval from Accounting within 24 to 48 hours of submission, please expedite your request A.S.A.P.
After your order has been approved by the Accounting Dept, you will receive your check on the date needed by, provided it follows check request guidelines.
Request must be submitted to accounting prior to 3 p.m. in order to be counted as received for that day. Otherwise it will be counted as received for the following day.
Amount of request
*
Estimate
*
Yes
No
Responsible party for ordering item(s)
Order method
*
C.O.D
Pick Up
Mail
By whom?
Requested for:
Item #1
Qty
Qty #1
Description
Description #1
Price
Price #1
Receipt
Receipt #1
Choose File
Item #2
Qty #2
Description #2
Price #2
Receipt #2
Choose File
Item #3
Qty #3
Description #3
Price #3
Receipt #3
Choose File
Item #4
Qty #4
Description #4
Price #4
Receipt #4
Choose File
Item #5
Qty #5
Description #5
Price #5
Receipt #5
Choose File
Item #6
Qty #6
Description #6
Price #6
Receipt #6
Choose File
Item #7
Qty #7
Description #7
Price #7
Receipt #7
Choose File
Item #8
Qty #8
Description #8
Price #8
Receipt #8
Choose File
Item #9
Qty #9
Description #9
Price #9
Receipt #9
Choose File
Item #10
Qty #10
Description #10
Price #10
Receipt #10
Choose File
Item #11
Qty #11
Description #11
Price #11
Receipt #11
Choose File
Item #12
Qty #12
Description #12
Price #12
Receipt #12
Choose File
Item #13
Qty #13
Description #13
Price #13
Receipt #13
Choose File
Item #14
Qty #14
Description #14
Price #14
Receipt #14
Choose File
Item #5
Qty #15
Description #15
Price #15
Receipt #15
Choose File
Add another item
Special instructions or comment
Check Request Guidelines:
$1 to $199 submit two weeks in advance
$200 to $299 submit four weeks in advance
$300 or more submit six weeks in advance
Reimbursements are also paid according to above guidelines.
Submit
Thank you for filling out the form! We have received your submission.
×
There was an error trying to send your submission. Please try again later.
×
Page load link
Go to Top