Systems and Procedures
A Division of The Corporate Controller's Office
IN

GARAGE REPAIR AND FUEL SERVICE AUTHORIZATION
FORM INSTRUCTIONS

Form Instructions

  1. For Office Use ONLY – This information is to be completed by the Office of Physical Plant.
  2. Date - Enter the date the form is being completed.
  3. Type of Authorization. Check the New box to indicate if this is a new authorization. Check the change box changing information on an established authorization. Check the delete box if deleting an existing authorization.
  4. Department Name - Enter the Department name.
  5. Billing Contact – Enter the name of the individual responsible for the billing.
  6. Billing Contact Phone Number – Enter the phone number of the individual responsible for the billing.
  7. Billing Address – Enter the complete address of the individual responsible for the billing.
  8. Fuel Card # - Enter the number of the fuel card for a new vehicle, a new fuel card, or a fuel card replacement.
  9. Vehicle # - Enter the vehicle number.
  10. License # - Enter the license plate number from the vehicle.
  11. Year – Enter the vehicle model year.
  12. Type of Vehicle – Enter the type of vehicle.
  13. Budget # 1 - Enter the first number of the budget number. The leading zero is already supplied.
  14. Budget # 2 – Enter the next five digits of the budget. The leading zero is supplied.
  15. Fund # - Enter the 5 digit fund number.
  16. Project # - Enter the project number (if applicable).
  17. Change Budget Information Vehicle # - Enter the vehicle number requiring a change of budget information.
  18. Old Budget # - Enter the first number of the budget number. The leading zero is already supplied.
  19. Old Budget # 2 – Enter the next five digits of the budget number. The leading zero is already supplied.
  20. Old Fund # - Enter the five digits of the fund number of the old fund number.
  21. Old Project # - Enter the project number (if applicable) of the old project number.
  22. New Budget # - Enter the first number of the new budget number. The leading zero is already supplied.
  23. New Budget # - Enter the next five digits of the new budget number. The leading zero is already supplied
  24. New Fund # - Enter the five digits of the new fund number.
  25. New Project # - Enter the new project number (If applicable).
  26. Delete Vehicle # - Enter the vehicle number of the vehicle to be deleted.
  27. Budget Administrator/Executive – The Budget Administrator/Executive is required to sign and date this form.
  28. Financial Officer/Financial Asst. – The Financial Officer/Financial Assistant is required to sign and date this form after the Budget Administrator/Executive signs the form.
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