EXHIBIT
Series 400 - Staff Personnel
Credit Card Request Form Code No. 406.7-E
Credit Card Request Form
Forest City Community School District
Employee’s name: ________________________________
Date(s) requested: __________________
Reason:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Expenses (please list)
Item Amount
$
Total
Please attach credit card receipts: Failure to keep receipts could result in the employee being responsible for the credit card expense(s).
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Please return this form to the Business Office no later than fifteen days after the use of the district’s credit card.