Form OTECH110 "Processing Credit Request" - California

What Is Form OTECH110?

This is a legal form that was released by the California Department of Technology - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2013;
  • The latest edition provided by the California Department of Technology;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form OTECH110 by clicking the link below or browse more documents and templates provided by the California Department of Technology.

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Download Form OTECH110 "Processing Credit Request" - California

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STATE OF CALIFORNIA
CALIFORNIA DEPARTMENT OF TECHNOLOGY
OFFICE OF TECHNOLOGY SERVICES
PROCESSING CREDIT REQUEST
OTECH 110 (REV. 07/2013)
OFFICE OF TECHNOLOGY SERVICES
USE ONLY
DEPARTMENT
DATE
NAME
PHONE NUMBER
OTECH CUSTOMER RELATIONS REPRESENTATIVE
CALNET
JOB NAME
JOB NUMBER
PROCESS DATE
AMOUNT OF CREDIT, IF KNOWN
OTECH ACCT. CODE
IAA NUMBER
DESCRIPTION OF ERROR
USE REVERSE SIDE OF FORM IF NECESSARY. INCLUDE ALL REQUIRED DOCUMENTATION.
OFFICE OF TECHNOLOGY SERVICES USE ONLY
COMMENTS
JOB COST
SIGNATURE
DATE
DISPOSITION
APPROVED AS REQUESTED
NEGOTIATED CREDIT APPROVED
PARTIAL CREDIT APPROVED
CREDIT APPROVED
REVIEWER'S COMMENTS
Fiscal Use Only
Account Number
Amount to be Credited
$
SIGNATURE
DATE
STATE OF CALIFORNIA
CALIFORNIA DEPARTMENT OF TECHNOLOGY
OFFICE OF TECHNOLOGY SERVICES
PROCESSING CREDIT REQUEST
OTECH 110 (REV. 07/2013)
OFFICE OF TECHNOLOGY SERVICES
USE ONLY
DEPARTMENT
DATE
NAME
PHONE NUMBER
OTECH CUSTOMER RELATIONS REPRESENTATIVE
CALNET
JOB NAME
JOB NUMBER
PROCESS DATE
AMOUNT OF CREDIT, IF KNOWN
OTECH ACCT. CODE
IAA NUMBER
DESCRIPTION OF ERROR
USE REVERSE SIDE OF FORM IF NECESSARY. INCLUDE ALL REQUIRED DOCUMENTATION.
OFFICE OF TECHNOLOGY SERVICES USE ONLY
COMMENTS
JOB COST
SIGNATURE
DATE
DISPOSITION
APPROVED AS REQUESTED
NEGOTIATED CREDIT APPROVED
PARTIAL CREDIT APPROVED
CREDIT APPROVED
REVIEWER'S COMMENTS
Fiscal Use Only
Account Number
Amount to be Credited
$
SIGNATURE
DATE