Official Function Form

FOR UA-PTC INTERNAL USE ONLY

The Chancellor, or their designee, shall approve in advance all expenditures from the official functions account. Such approval is to be reflected on this official function request form and purchase order form when required. There is no budgeted cost center for all institutional official function expenditures.

*Required

Please provide the following information:

*Submission Date:

*Requestor Name:

*Requestor Job Title:

*Requestor Phone Number:

*Requestor E-mail Address:

*Requestor Department:

*Date of Event:

*Times:

*Location:

*Person in Charge of Event:

*Estimated Cost:

*Associated Cost Center Name and Cost Center Number:

Example: Purchasing CC XXXXXX

*Description of Event:

*Is alcohol being served?

Yes

*Is food being served?

Yes

Estimate of funds being spent on food:

Estimate of funds being spent on other:

*Benefit to the College:

*Has your supervisor approved this request?

Yes

*Number of People Involved/Attending:

Faculty and Staff:

Any Invited Officials:

Guests:

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Chancellor's Signature, or Designee

_________________________________________________________________
Date