U.S. COAST GUARD AUXILIARY FLOTILLA 014-10-20
CHECK REQUEST

1) Copy and paste the template text below* into an email.  The email Subject line should start with the words "Check Request" followed by your last name, and the purpose.
2) Complete Part A.
3) Attach legible photos or scans of receipts, invoices, etc. necessary to substantiate the request.
4) Send to the Flotilla Commander for approval.  FC will forward to FSO-FN for payment.
*Alternatively, print the info below and mail with the original documents

🠫  🠫    T E M P L A T E   T E X T    🠫  🠫 

Part A Payment Request

Payee Name:
Payee Mailing Address:
Total Amount Requested:
Explanation of expenses:
Date of Request:
Name of Requester:

Part B Approval (FC or VFC)

Approver name:
Date of Approval:

Part C Accounting (FSO-FN)

Check Number:
Date: