Charge Request
Original of this form is your authorization to charge

Allow up to 10 business days for processing in Accounts Payable

  CR #:
see instructions BUSINESS UNIT:   
  (additional insurance at time of rental will be employee's responsibility)
 Car Rental Agencies that accept this form.
 
"I am in possession of a valid California driver's license.  I certify that I have not been issued more than three moving violations or have been responsible for more than three accidents (or any combination of more than three thereof) during the last twelve-month period."
_________________________________  _____________________
Signature of Applicant                      Date
  (justification required for first-class service)
  
  Hotels that accept this form
 
 
 
 
 
 
__________________________________
Signature of Applicant / Requestor





__________________________________
Dept. Head Signature 
 
 
 

 
SEND INVOICE TO:
________________ 
California State University, Bakersfield
Accounting Approval 
ADM 35 - Attention: Accounts Payable (x 6209)  
9001 Stockdale Highway
________________ 
Bakersfield, CA 93311-1022 
Date     
Original to be retained in Accounts Payable for processing
 
NOTE: Make sure values on form are correct as
VALUES ARE CLEARED BEFORE PRINTING AND FORM IS REFRESHED!