PAYEE: Make the check out to:

PAYEE'S ADDRESS: Street Apt    City State Zip Code

AMOUNT: $

CHECK DATE: If this check needs to be dated any special date, specify it here:

What was the date when the liability was originally incurred (i.e., if this is a request for a reimbursement, when did you spend the money?)

Who did you originally pay?

How much did you pay?

Do you have a receipt for your expense?  (You'll need to mail, fax, or scan and email the receipt to the SAYSO office.) Yes, I have a receipt.
     I WILL MAIL OR HAND DELIVER THE RECEIPT: 1250 Fifth Avenue, Belmont, CA 94002
     I WILL FAX THE RECEIPT: 650-593-9733
     I WILL EMAIL A SCAN OF THE RECEIPT: expenses@sayso.org

What did you buy or pay for?

If anyone, from whom did you receive prior authorization for this expenditure?

What is the check for (e.g., "District Up", "Hayward Classic tournament in September", etc.)?

Will SAYSO be receiving an invoice for this expenditure? Yes, the vendor or someone else will be sending an invoice for this.

If anyone, from whom did you receive prior authorization for this expenditure?

Which team's account (e.g., "94G Red") should the funds be drawn against?

What budget item (e.g., equipment, referees, repairs, entertainment, etc.) should this amount be written to?

Did you verify with the SAYSO treasurer that the team account has a sufficient balance to cover this expense?

When is the check needed?

What should we do with the check when it is ready? Do you want to pick up the check, have it mailed to you, or have it mailed to someone else?       Pull down to select. Give the check to the person I have named in the comments. Something else. See the comments. Hold the check until I come to pick it up. Mail the check out when it is ready.

If anyone, who should we notify when the check is ready to be picked up?

To whom should the check be mailed?

To what address?

Who are you?

Date of this request:

What is your primary phone number?  Secondary phone number?

What is your primary email address? Secondary email address?

Is there anything else that you want to mention?

Date request received
Approval signature   Approval date
Team
Invoice received date   Receipt received date
Check number  Amount $  Date sent