Printable Business Form Templates
Order Authorization Form Business Form Template

Payment & Order Authorization Form

Fields: from (institution), to, ref #, date, address, items, no, description, price, amount, total, notes/comments

You are hereby authorized to release payment to {name} or order a sum of {number} dollars

Account to be charged:

Fund ______________________________

Dept ______________________________

School ______________________________

Account no ______________________________

Authorization Raised by: (name & signature)

Approved by: (Name & Signature)

Important: A copy of the completed form should be retained for records and auditing purposes.

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