Check Request

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Check Request Mail to addressee Direct Deposit (only for operating accounts) Hold Check with Receptionist (may be picked up on Thursdays after 4 pm)

Date Requested: Date Needed:

Return to: Payee: Need before regular processing on Thursdays Address: City/State/Zip: Dept Number

Account Number

Account Name

TOTAL Administrator's Approval:

Amount

Project Code

-

Requested by: Minister's Approval:

Explanation