Check Requisition Form Instructions (for DSOs)

Check Requisition forms are used to get a reimbursement check or another check written to a vendor. ​​​​If it is being used for reimbursement, the check requisition form should be filled out by the person needing reimbursement.

Below are intructions on how to fill out a Check Requisition form.

• Date - the date that you are filling out the form
• Payable to - your name (for reimbursement) or the vendors name; who is to recieve the check
• Complete Address of Preferred Vendor - your perminate address (for reimbursement) or the vendors address
• Student ID, Last 4 digits of SSN, EIN - You only need to put one. Put your Student ID # (for reimbursement), last 4 digits of SSN for an individual, or EIN (Employer Identification Number) of the vendor
• Deliver To - Chose an option from below the line or write "pick up at treasurer's office"
• Charge To Dept - Write the account number it should be charged to. If it should be charged to your fundraising account, write that number. If it should be charged to your Budget, write SGA
• State work completed in - Typically write PA
• Table - Complete the table with the purchases that were made (for reimbursement) or the service provided (for a vendor)
• Requisitioned by - This should be filled out by whoever is completing the form
• Approved by - This should be your advisor

After those steps are completed, please turn the form and the relevant reciepts into Liz Roberts-Brown either in person (Dorothy Day 174) or through email (dso@desales.edu).


Click the attachment below to download the Check Requisition Form
Check_Requisition_Form_19.doc