Check/Cash Requisition Form

Instructions - All LOTW check requisitions must allow a minimum of two weeks for a check disbursement. - Checks will no longer be given for purchases that are not pre-approved. (See Standard Operating Procedure). -Before requests are approved, funds must be available in accounts and then deducted. -Receipt or invoice must be submitted at the time of check request for all approved advance purchases made.

Date Submitted *

Approved By *

Requested By *

Ministry *

Amount Requested *

Purpose Of Funds *

Date Needed *

Make Check Payable To *

Upload Receipt/Invoice *

Verification