Requesting preapproval/review of expense to have paid by check from Local Checking Account. 1 Start 2 Complete Balance in Account: Last Four #s of Checking Account: Complete Business Purpose: Amount Check is to be Written For: Date Planning to Write Check: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20202021202220232024 To Be Signed By: Initiated By: Requestor's Full Email: CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.