USC Graduate and Professional Student Senate (GPSS)

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GPSS ONLINE STUDENT LIFE AND INVOLVEMENT EXPENSE REQUEST FORM

Please read the GPSS Funding Policies BEFORE completing this form. If you have any questions or comments, please contact us at 213.740.5649 or via email at gpss@usc.edu.

EXPENSE REQUEST
Purpose:*
EXPENSE IS
Internal Requisition:		Event Name:	*
Requisition:		Amount Requested:	$ *
Purchase Order:		Date Needed:	*
Check Request:		Payable To:	*
Route To:	(Type Mail To Have Check Mailed)	Attention To:	*
Reimbursement:		Address1:	*
Route To:	(Type Mail To Have Check Mailed)	Address2:
Mail Requisition:		City:	*
		State:	*
		Zip:	*
		Phone:	*
		Vendor Code:
		SSN/EIN:	*