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CHEMISTRY ONLINE CC/PO SYSTEM USER APPROVAL FORM

         

INSTRUCTIONS:

Fill out this form completely, then PRINT it using the print feature of your web browser.
All forms must be SIGNED by the faculty responsible for the listed accounts.
Fields marked with an * are required.
Date:
* Your Name:
* NU NetID:
Building/Room Number:
Work Phone:
Email Address:
Laboratory/Group:
List the accounts that you would like to access.
FUND, AREA and ORG must be explicitly stated for each account.
FUND AREA ORG
01
02
03
04
05
06
07
08
09
10

APPROVAL
The listed individual may submit purchase requisitions to the Chemistry Business Office on the accounts designated above. I understand that it is my responsibility to notify the business office when an individual leaves my lab or is no longer authorized to spend on my accounts.
* Faculty Name:
Faculty Signature: ____________________________________________ Date: _____/______/______
   
Make sure you PRINT a copy of this form for faculty signature prior to submitting.
Northwestern University
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Department of Chemistry  2145 Sheridan Road   Evanston, IL 60208-3113
Phone: (847) 491-5371  Fax: (847) 491-7713  Email: info@chem.northwestern.edu
Last Updated: 03/13/2007 12:15:50 PM
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