Form OFMFRM0002 "Fleet Card Purchase Affidavit" - Ohio

What Is Form OFMFRM0002?

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

Form Details:

  • Released on January 1, 2019;
  • The latest edition provided by the Ohio Department of Administrative Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form OFMFRM0002 by clicking the link below or browse more documents and templates provided by the Ohio Department of Administrative Services.

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Download Form OFMFRM0002 "Fleet Card Purchase Affidavit" - Ohio

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FLEET CARD PURCHASE AFFIDAVIT
On (date) ____________________, (item purchased) _______________________was
purchased for $______________ on the State Fleet Card and I cannot provide
the receipt or work order.
I certify that although a receipt was not turned in for the transaction, the purchase was a
valid purchase for vehicle (license plate) _______________.
_______________________________ (Printed name of employee completing purchase)
_______________________________ (Signature of employee completing purchase)
_______________________________ (Date)
_______________________________ (Agency)
_______________________________ (Printed name of supervisor)
_______________________________ (Signature of supervisor)
_______________________________ (Date)
Rev 1/19
OFMFRM0002
The State of Ohio is an equal opportunity employer.
   
Mike DeWine, Governor
Office of Fleet Management | 4200 Surface Road | Columbus, Ohio 43228
Matthew M. Damschroder, Director
 
Phone: 614-466-6607 | Email DASFleet@das.ohio.gov
das.ohio.gov
William R. Simon, State Fleet Administrator
FLEET CARD PURCHASE AFFIDAVIT
On (date) ____________________, (item purchased) _______________________was
purchased for $______________ on the State Fleet Card and I cannot provide
the receipt or work order.
I certify that although a receipt was not turned in for the transaction, the purchase was a
valid purchase for vehicle (license plate) _______________.
_______________________________ (Printed name of employee completing purchase)
_______________________________ (Signature of employee completing purchase)
_______________________________ (Date)
_______________________________ (Agency)
_______________________________ (Printed name of supervisor)
_______________________________ (Signature of supervisor)
_______________________________ (Date)
Rev 1/19
OFMFRM0002
The State of Ohio is an equal opportunity employer.
   
Mike DeWine, Governor
Office of Fleet Management | 4200 Surface Road | Columbus, Ohio 43228
Matthew M. Damschroder, Director
 
Phone: 614-466-6607 | Email DASFleet@das.ohio.gov
das.ohio.gov
William R. Simon, State Fleet Administrator