FSC Procurement Card Purchase Receipt Form

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Procurement Card Handbook

PSC Procedural Statement for Official Functions

Indicates required field

Who is your FSC tech?

Choose your Department/Org # (in 1 of the 3 drop downs)

Dept. Abbreviation/Org. # (A-D)

Dept. Abbreviation/Org. # (E-L)

Dept. Abbreviation/Org. # (M-Z)

Please just choose one department from the lists.

Form completed by

Cardholder Name

Have you uploaded a receipt to Concur?

Yes

No

If no, attach ONE itemized receipt per form here

One file only.
32 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.

Open for Additional File Upload Fields

First additional file

One file only.
20 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.

Second additional file

One file only.
20 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.

Third additional file

One file only.
20 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.

Fourth additional file

One file only.
20 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.

Fifth additional file

One file only.
20 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.

Sixth additional file

One file only.
20 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.

Speedtype

Amount

Do you need more additional speedtype/amount fields?

Yes

No

Is this purchase for food/beverage?

Yes

No

If "yes" additional form will load and must be filled out

FSC Documentation for Official Functions

Official Function Attendance

10 attendees or less

More than 10 attendees

Section One:

For up to 10 attendees: list names and relationships, e.g. Chris Jones (faculty member); Mary Doe (employee recruit)

Attendee 1

Attendees relationship to the University

Name

Provide the name for the attendee with the above university relationship

Attendee 2

Attendees relationship to the University

Name

Provide the name for the attendee with the above university relationship

Attendee 3

Attendees relationship to the University

Name

Provide the name for the attendee with the above university relationship

Attendee 4

Attendees relationship to the University

Name

Provide the name for the attendee with the above university relationship

Attendee 5

Attendees relationship to the University

Name

Provide the name for the attendee with the above university relationship

Attendee 6

Attendees relationship to the University

Name

Provide the name for the attendee with the above university relationship

Attendee 7

Attendees relationship to the University

Name

Provide the name for the attendee with the above university relationship

Attendee 8

Attendees relationship to the University

Name

Provide the name for the attendee with the above university relationship

Attendee 9

Attendees relationship to the University

Name

Provide the name for the attendee with the above university relationship

Attendee 10

Attendees relationship to the University

Name

Provide the name for the attendee with the above university relationship

Section Two:

Attendee Totals

Total Number of Attendees

Number of Attendees

Attendee Relationship

Select the relationship of attendees

Number of Attendees

Attendee Relationship

Select the relationship of attendees

Number of Attendees

Attendee Relationship

Select the relationship of attendees

Number of Attendees

Attendee Relationship

Select the relationship of attendees

Number of Attendees

Attendee Relationship

Select the relationship of attendees

Number of Attendees

Attendee Relationship

Select the relationship of attendees

Need more attendee fields?

Yes

No

Number of Attendees

Attendee Relationship

Select the relationship of attendees

Number of Attendees

Attendee Relationship

Select the relationship of attendees

Number of Attendees

Attendee Relationship

Select the relationship of attendees

Number of Attendees

Attendee Relationship

Select the relationship of attendees

For more than 10 attendees: list number of individuals and describe the relationship, e.g., students, faculty, staff

An official function is a meeting, meal, or other function that is hosted by an organizational unit, attended by guests and/or associates or employees, and held for official university business. All official functions must comply with the Administrative Policy Statement Propriety of Expenses and the PSC Procedural Statement (PPS) Sensitive Expenses. Please provide all attendees and relationship to the University

Description of items

Description of items

Business Purpose

Business Purpose

Please explain in detail how this expense relates to official University business.

Additional Comments

Email Confirmation

Would you like an emailed copy of this form sent to you?

Yes

No

Enter your email address (if multiple, use comma to separate)

Multiple email addresses may be separated by commas. Emails are only sent to cc and bcc addresses if a To email address is provided.