CALA REQUEST FORM
FOR FUND APPROPRIATION OR REIMBURSEMENT
(Approved 1/15/00)

The financial reporting year runs from July 1 to June 30. All requests for payment must be submitted by July 31 of the current year (July-June). Please allow two weeks for processing.

  1. Your name _____________________________ Phone ____________________Email____________

    2. Check should be payable to: _________________________________________

    Address where payment should be sent: ________________________________________________________________

    Date of request: __________________________

  2. This is for (please mark one) ___ Advanced payment ___ Reimbursement
  3. Please indicate the category of purpose for the payment:

    4. ___annual conference ___awards ___banquet ___copying, computer use
    ___ directory ___election ___journal ___legal/bank transactions ______membership
    ___newsletter ___postage ___president's fund ___scholarship
    ___ other, please explain: ___________________________________________

  4. Please itemize payment amounts and attach invoice(s) or receipt(s)
    5. Date Description Amount
    ________ ______________________________________ ___________
    ________ ______________________________________ ___________
    ________ ______________________________________ ___________
    ________ ______________________________________ ___________
    ________ ______________________________________ ___________

    (Please use a separate sheet for more items.)

    Total amount requested: ___________

  5. Please provide information regarding fund approval

    6. ___ Part of approved annual budget of the year ________________

    ___ Board approval. Please give date of approval: ________________

    NOTE to Treasurer:If neither box is checked, please refer the requester to the Board for fund approval.

    VI. Verified by Treasurer _______________________ Date____________________

Note: Requests via email or fax will be accepted. Original receipt (s) and/or invoices (s) must be submitted to the Treasurer for any funding requests at the following address:

Maggie Wang
CALA Treasurer
P.O. Box 6341
Alhambra, CA 91802