Department Invoice Request Form

This form should only be used by UCI Staff/Faculty. Students should not submit requests on behalf of departments.
An official ASUCI invoice will be generated and sent to the invoice recipient. Departments should not accept invoices from student clubs or organizations.
Our office will deny funds that are not associated with an official ASUCI invoice.
Clubs will receive funds when payment has been finalized in KFS by the processing department.
For questions, please contact accounting@studentgov.uci.edu.

Department Invoice Submission Form

Requestor Info:

Name

First

Last

UCI Email

Department

Position / Title

Invoice Info:

Recipient Name (if recipient is different than requestor)

Recipient Email (if recipient is different than requestor)

Club / Funding Info:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Do you have more clubs to add to this request?

Yes

Please choose the number of additional clubs. (Maximum total of 10 clubs for a single request)

1 Additional Club

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

2 Additional Clubs

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

3 Additional Clubs

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

4 Additional Clubs

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

5 Additional Clubs

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

6 Additional Clubs

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

7 Additional Clubs

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

8 Additional Clubs

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

9 Additional Clubs

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Club Name

Club ASUCI Account Number (must be 7 digits and starts with 205XXXX or 206XXXX)

Amount:

Purpose of Funding

Any Funding Restrictions?

If you are human, leave this field blank.