"Welfare/Offender Trust Fund Withdrawal Request Form" - Florida

Welfare/Offender Trust Fund Withdrawal Request Form is a legal document that was released by the Florida Department of Juvenile Justice - a government authority operating within Florida.

Form Details:

  • Released on April 1, 2005;
  • The latest edition currently provided by the Florida Department of Juvenile Justice;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Florida Department of Juvenile Justice.

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Download "Welfare/Offender Trust Fund Withdrawal Request Form" - Florida

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DEPARTMENT OF JUVENILE JUSTICE
WELFARE/OFFENDER TRUST FUND WITHDRAWAL REQUEST
TO:
DEPARTMENT OF JUVENILE JUSTICE
BUREAU OF FINANCE AND ACCOUNTING
2737 CENTERVIEW DRIVE
TALLAHASSEE, FLORIDA 32399-3100
FROM:
OFFICE/FACILITY NAME:
ORG CODE:
EO:
WF
REQUESTED AMOUNT:$
MAKE CHECK PAYABLE TO:
MAIL CHECK TO:
DESCRIPTION/JUSTIFICATION OF EXPENDITURES:
THIS IS TO CERTIFY THAT I UNDERSTAND I MUST SUBMIT RECEIPTS AND/OR A MONEY
ORDER/CASHIER'S CHECK EQUAL TO THE REQUESTED AMOUNT TO THE BUREAU OF
FINANCE AND ACCOUNTING WITHIN 10 WORKING DAYS FROM THE ISSUANCE DATE OF
CHECK.
REQUESTOR:
TITLE:
SUNCOM:
DATE:
DJJ DIRECTOR/MANAGER OR DESIGNEE APPROVAL:
SUNCOM:
DATE:
FOR FINANCE AND ACCOUNTING USE ONLY:
CHECK NUMBER:
APPROVED BY:
TITLE:
DATE:
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Revised 4/05
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DEPARTMENT OF JUVENILE JUSTICE
WELFARE/OFFENDER TRUST FUND WITHDRAWAL REQUEST
TO:
DEPARTMENT OF JUVENILE JUSTICE
BUREAU OF FINANCE AND ACCOUNTING
2737 CENTERVIEW DRIVE
TALLAHASSEE, FLORIDA 32399-3100
FROM:
OFFICE/FACILITY NAME:
ORG CODE:
EO:
WF
REQUESTED AMOUNT:$
MAKE CHECK PAYABLE TO:
MAIL CHECK TO:
DESCRIPTION/JUSTIFICATION OF EXPENDITURES:
THIS IS TO CERTIFY THAT I UNDERSTAND I MUST SUBMIT RECEIPTS AND/OR A MONEY
ORDER/CASHIER'S CHECK EQUAL TO THE REQUESTED AMOUNT TO THE BUREAU OF
FINANCE AND ACCOUNTING WITHIN 10 WORKING DAYS FROM THE ISSUANCE DATE OF
CHECK.
REQUESTOR:
TITLE:
SUNCOM:
DATE:
DJJ DIRECTOR/MANAGER OR DESIGNEE APPROVAL:
SUNCOM:
DATE:
FOR FINANCE AND ACCOUNTING USE ONLY:
CHECK NUMBER:
APPROVED BY:
TITLE:
DATE:
Save As
Print
Revised 4/05
Reset/Clear Form
Email Form