Check Request
Store
*
Please Select
COC
FOC
NOC
JOC/HOC
P4
Recon
Stoops
Twisted Torch HD
Leo Chevy Indy
Leo Chevy GMC Lebanon
Department
*
Please Select
Sales/F&I
Service
Parts
Collision Center
Accounting
Other
Dept Other
Requested by
*
Reason For Request
*
Please Select
Deposit Return
Refund
Check Back to Customer
Referral
Vendor
Employee Training/Travel
Expense Reimbursement
Other
How did the customer pay originally?
*
Credit Card
Check
Cash
Other
Reason Request Other
Amount
*
Expense To:
*
Deposit Return
Sales New Policy
Sales Used Policy
Service Policy
Parts Policy
Stock/RO#
Parts Invoice Credit (account# 225)
In- Deal (set up in we-owe)
Other
Deposit STK #/Order #
*
Deposit- Customer Name
*
Stk#/Ro#/Invoice #
*
Account Name/Number?
*
Expense to note:
Issue to a:
*
Person
Company
Payee Name
*
First Name
Last Name
Company Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Send Check to:
*
Please Select
Payee
Back to store
Other
Payee Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Send Check to:
Send Check Attention:
Approved By:
*
Signature
Any Documents to Attach (Bills, Invoices or other)
*
Yes
No
Click here for Travel and Expense Report
Attached copies of bills, invoices or other as documentation
Notes
Print
Submit
Notes
Should be Empty: