Check Requisition Form
Form No.:
CRF-001
Date:
1. Requester Information
Requested By:
Department:
Sales
Service
Parts
Admin
Finance
Other:
2. Payee / Vendor Details
Payee / Vendor Name:
Mailing Address:
Phone / Contact:
Email:
3. Payment Details
Amount Requested:
$
DMS No & Stock No:
Invoice / PO # / Reference No:
Payment Method:
Regular Check
Certified Check
Other:
4. Reason for Payment
Customer Refund
Vehicle Purchase
Trade-in Payoff
Parts Vendor Payment
Service Sublet / Outside Work
Referral
Other:
5. Supporting Documents Attached
Purchase Order / Agreement
Invoice
Payoff Letter
Work Order
Other:
6. Authorization
Department Manager:
Name:
Signature:
Date:
Remarks:
Accounting (Review):
Name:
Signature:
Date:
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