Explanation of Advance

This form is required as back-up for each request for a field advance. Please answer the following questions in full:

1. Will you be depositing the field advance check into a bank account?

_____ Yes _____ No

2. If the answer is Yes, is it a local bank or a foreign bank?

_____ Local

_____ Foreign - the bank should be a University of Washington account and approved by the Public Deposit Protection Commission

3. If it is a local bank, how are you going to access your funds?

_____ Wire to a foreign bank - the bank should be a University of Washington account and approved by the Public Deposit Protection Commission

_____ Use ATM to draw money

4. If you are not depositing the money into a bank account, how are you converting the funds?

____ Cash ____ Traveler’s Cheques

5. How will you be distributing the funds?

____ Prepaid expenses Describe____________________________________

____ to Individuals How many? ________ How much each? ___________

Name of Custodian _____________________________________________________

Signature of Custodian ___________________________________________________

Name of Dept. Head or Principal Investigator __________________________________

Signature of Dept. Head or Principal Investigator________________________________

Department __________________________




Financial Services
A Department of Financial Management
Modified: April 21, 2005