Employee AR Charge Request

All employees can request to charge up to $200 to their Accounts Receivable (paycheck). All charges will be deducted from the next payroll.
If you need to charge more than $200, or you need the charges divided up into multiple payroll deductions, you must complete a Benevolence Loan request instead. You will find the Benevolence Request form on the Help Desk homepage.

Employee Name(Required)

First Last

Employee Number(Required)

Employee Location(Required)

Employee Email(Required)

Requested Charge Amount(Required)

Department Where Goods are Being Purchased or Service Is Scheduled/Being Performed(Required)

Short Description of Goods or Services (i.e., Oil Change & Tire Rotation, Parts for Personal Vehicle, etc.)(Required)

Name of Department Employee Who Should Receive the Approval, if Approved (i.e., Service or Quick Lane Advisor, Parts Counterperson, etc.)(Required)

First Last

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