Student Activities A19 Request

Student Activities A19 Form

This form should only be used for student activities related transactions.
This form is ONLY for submitting invoices, reimbursements, or other items that need a check for payment. For contracts, please use the following form: https://form.jotform.com/240574172316150
Club / Group / Department Name*
Your First and Last Name*
This is the person that is filling out the form and cannot be the same as the person signing for approval (in most cases Richard will be the approver)
Your Email*
example@example.com
Your Phone Number*
Please enter a valid phone number.
Todays Date*

MonthDayYear
Date
Vender's Name*
Vender's Email (used to send virtual signature requests)*
example@example.com

Purchase Details

Use this section to list the information about the purchase. Date, Description (eg. Contract for jazz artist, etc.), the amount of the contract details. You can use multiple lines for multiple items/dates.

Purchase Details

Are you paying for this transaction out of multiple accounts?*

NoYes
What type of account is this?*

Fundraising (570-265)S&A Funding (522-264)Housing (573-263)Other
Department Name*
Type the total cost of this contract/payment*
Costs should be "all inclusive" of any travel, booking, or other event costs paid to the guest.
Invoice Number (if known)
Fund Code
Class Code
Department Code

Total Payment
Please upload the following: Event agenda/advertisement, Invoices, and Contract / Performance Agreement (if needed)*

This is necessary to process your A19. Only pdf, doc, docx, xls, xlsx, csv, txt, rtf, zip, jpg, jpeg, png file types accepted.
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No longer using - Invoices and/or Contract / Performance Agreement - Please provide a copy of the contract/performance agreement if paying an individual or company for services.

Only pdf, doc, docx, xls, xlsx, csv, txt, rtf, zip, jpg, jpeg, png file types accepted.
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W9 Forms

W9s are now being collected digitally by student activities. We will send them an electronic copy to sign through AdobeSign using the email you listed above. If you have questions, please contact svantrease@lowercolumbia.edu or rarquette@lowercolumbia.edu.
W9 Form - If this is the first time submitting an A19 for this person this fiscal year or if the persons address has changed, you MUST provide a signed W9. The address must match the A19.

Only pdf, doc, docx, xls, xlsx, csv, txt, rtf, zip, jpg, jpeg, png file types accepted.
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Student Activities A19 Form