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Explanation of Advance

This form is required as back-up for each request for a field advance. Please answer the following questions in full:

  1. Will you be depositing the field advance check into a bank account?
  2. _____ Yes _____ No

  3. If the answer is Yes, is it a local bank or a foreign bank?
  4. _____ Local

    _____ Foreign - the bank should be a University of Washington account and approved by the Public Deposit Protection Commission

  5. If it is a local bank, how are you going to access your funds?
  6. _____ Wire to a foreign bank - the bank should be a University of Washington account and approved by the Public Deposit Protection Commission

    _____ Use ATM to draw money

  7. If you are not depositing the money into a bank account, how are you converting the funds?
  8. ____ Cash ____ Traveler’s Cheques

  9. How will you be distributing the funds?
  10. ____ Prepaid expenses Describe____________________________________

    ____ to Individuals How many? ________ How much each? ___________

    Name of Custodian _____________________________________________________

    Signature of Custodian ___________________________________________________

    Name of Dept. Head or Principal Investigator __________________________________

    Signature of Dept. Head or Principal Investigator________________________________

    Department __________________________