Copier Charge Authorization Form



form

How to Fill out a Copier Charge Authorization Form

This form has been revised (replaces Form 5) to be used for copies purchased through the Accounting Office cashiering services.

This form is to be filled out completely and presented to the cashier upon request for copies loaded onto the Rizo card or the department copy card. 

How to fill out the form:

Department:                  Department ordering copies.

Requested By:              Person requesting copies.

Date:                            Date of request.

Account Number:         Number to be charged for copies.

Account Title:               Identifying name of account (ei. Accounting Office Supplies and Services).

Quantity:                       Number of copies ordered or number of replacement cards ordered.

Machine:                      Describes the type of copies ordered.

Unit Price:                    The cost of the copies ordered.

Amount:                       Quantity times the Unit Price.  (For department card the total dollars to be placed on the card would be entered here.)

Total:                            Total of all amounts of copies ordered.

Requestor Signature:      Person requesting copies.

Approval Signature:      Authorized signer for the account number to be charged for the copies.

Date:                            Date ordered.