Check Request Form

Sep 21, 2026

Check Request Form captures the essential details required to request a payable check, including payee name, date, requester information, and mailing address with phone. The form provides a structured table to list committee items, related activities and dates, and corresponding amounts. It also collects total amount, approvals from both the requester and the committee chair, and signatures with dates. Submission instructions specify sending the completed form to Chicago ACS via mail or fax.

LanguageEnglish

CategoryResearch & Report

FormatPDF

Pages1

Reading Time3 min

AccessFree to download

Request Details

Payee, Date, and Contact Information

Committee Item Entries

Activity and Amount

Totals and Approvals

Signatures and Submission Instructions

FAQs

What information is required to make the check payable?

The form asks for the payee name (“Make check payable to”) and a date. It also requires the requester’s type/printed name and mailing address details.

How should committee items and amounts be filled in?

Committee Item Activity and Date Amount are entered in the provided table, listing each item with its activity, date, and amount.

Who must sign the check request form and how is it submitted?

All check requests must be signed by the person submitting the request and by the committee chair authorizing the expenditures. Submit by mail to Chicago ACS or by fax to the provided number.

Sep 21, 2026

Uploaded by Lucas Vance

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