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FSA Forms

* Downloadable FSA Forms & Documents. Interactive Adobe pdf format forms can be completed online using the free, most current Adobe Acrobat Reader program (version 10). The blank form can be downloaded to your hard drive. The free Adobe software allows you to save your completed form on your hard drive. Print the completed form for signature and processing; To expedite processing, you can then scan the signed form to attach to an e-mail to FSA or fax the signed form. However, the original signed form is required before any account is approved, or before any disbursement/ check is released.

FSA-HSCBF Payment Request Form (Excel format). For Payments and Disbursements. Requires MS Excel. HSCBF Acct Holders must use this Excel format. Other FSA, SAF and T&A Account Holders can use this Excel or the pdf format below. Print, sign, then send to FSA Business Office Box 1219,or Hand Delivered to Student Center Rm 209. A fax to Ext 3845 will be accepted only to expedite a transaction/ check processing.

FSA Payment Request Form (pdf format). Print, sign, then send to FSA Business Office Box 1219,or Hand Delivered to Student Center Rm 209. A fax to Ext 3845 will be accepted only to expedite a transaction/ check processing.

Cafe 101 Catering Form* Download, complete, then print, sign & fax the form to (718) 270-4461. You can also e-mail your form, but a fax is more reliable. If your event is imminent, to prevent any order acceptance delay, call Ext 2449 in addition to faxing or e-mailing your catering form.. The form allows you to insert the qty and add additional items not on the standard menu. Be sure you have spoken in advance with Cafe 101 at Ext 2449 (718-270-2449) to discuss and confirm availability and the agreed pricing for any added items. Print, sign, then send to Cafe 101. Hand deliver to Student Center Rm 221, Mail to Box 1214, or fax to718-270-4661.

Cafe 101 SAF Catering Form (Requires MS Excel; For Student Activity Fee (SAF) funded catering only - Student Councils). This Excel form allows you to insert the qty and add additional items not on the standard menu. Be sure you have spoken in advance with Cafe 101 at Ext 2449 (718-270-2449) to discuss and confirm availability and the agreed pricing for any added items. You can 'save as' the form as you have typed it onto your hard drive so that you can then print it off for signature and processing. Send completed/ signed SAF Catering Form to Student Center Director via interoffice mail to Box 114, or hand deliver to Student Center Rm 209, or fax to 718-270-1040. Alternate: Call the Student Center Main Office Ext 2484 (718-270-2484) for more information. The Student Center Director will approve the form and submit it to Cafe 101. Download, complete, then print & fax the form to (718) 270-1040

 

Student Activity Fee (SAF) Related Documents for DMC's Student Councils and Clubs:

SAF Budget & Agreement Form*. Used by Student Councils and Clubs to submit their annual student activity fee budget . Due in mid-May of each year. Complete, Print, sign; send to FSA Business Office Box 1219, fax 718-270-3187. Cover Letter. Budget Instructions.

SAF SUNY Board of Trustee Guidelines on Student Activity Fees (SAF).

SAF Guidelines for Student Council Meeting Minutes. Used by all Student Activity Fee (SAF) Organizations such as Student Councils and Clubs to document all meetings.

Trust and Agency Account Related Forms and Documents:

TA Account Application Form*. Used to apply for a New T&A Account. Print, sign, then send to FSA Business Office Box 1219, fax 718-270-3187

TA Account Revision Form*. Used to update an existing TA Account's purpose, types of expenses, authorized signator changes.Print, sign, then send to FSA Business Office Box 1219, fax 718-270-3187

TA Account for Temporary Party Fund*. To be used for collection of voluntary contributions for a specific one time event or purpose (retirement parties, holiday parties, staff personal event celebrations, one time charitable purpose, etc..).

TA Account FSA Policies and Procedures. The current FSA policies and procedures that govern all SAF and TA accounts.

FSA Board of Directors: Related Forms and Documents:

FSA BOD Handbook: Summarizes FSA structure, governance, Board member responsibilities, Bylaws, Organizational Chart, and Annual Budget matters.

FSA Board of Directors Meeting - Proxy Form*. Used by FSA voting Board members when you are unable to attend an FSA Board of Directors meeting.