Visa Checkout
Teachers if you are needing to make an in person purchase for supplies, please fill out this request form to check out the school Visa. If a credit card is not available at the specific time of request; I will email to let you know what alternative dates or times are available.
  • School Visa's cannot be checked out over the weekend.
  • Visa Needs to be returned within the same day or the next morning if the purchase is after hours.
  • Please return Visa with an itemized receipt!
  • Routinely lost receipts will result in no longer being able to check out the visa.
  • School Visa's cannot be checked out to a student.
  • If you drop by without filling out the Visa request, I will not check out a card to you
  • Food Purchases must adhere to wellness policy if students are involved. https://4j.lane.edu/17090_3
  • Only food purchases approved are for Field Trips.
  • Gift cards cannot be purchased, for a full list of unallowable purchases, see Jill.
  • If the actual purchase significantly differs from the request (amount, merchant, or items), Mike will be following up since he pre-approved the purchase.
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Requestor Name
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Program/Class

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What funding will be used, Club Account, Student Body Fund, Department budget, Etc.
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Date Requested
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MM
/
DD
/
YYYY
Time Requested
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Time
:
Approximate time visa will be returned
 *
Store/Merchant purchase will be from?
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Business Purpose/Items to be purchased (Please don't just put "supplies", please put what specific supplies, or if purchasing food)
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Estimated cost?
*
Do you have  pre-approval from Mike? Please include date of pre-approval and send pre-approval email to Finance Clerk. *
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