Form 3215 FR.07 Request to Delegate Authority to Prepare Expense Reports and Spend Authorizations

Revised 7/13/2017

Please email completed form to Yale Shared Services at yems@yale.edu or call 203-432-3227 with questions.

Complete all fields of this form to delegate authority to prepare expense reports and spend authorizations (cash advances) on behalf of another person. Be sure to include NetID. Note the terminology below:

• Requester: refers to the cardholder or employee who will be reimbursed or receive a spend authorization.

• Delegate: refers to the individual who will create the report on behalf of the employee (Requester).

Under Action below, please indicate whether you would like to Add or Delete an individual.

Request Date Action Requester Name (cardholder or employee)

Requester NetID Delegate Name Delegate Department Name Delegate NetID

10-Sep-09 Delete Last, First M. IN123 Last, First M. Sample Department PR123

10-Sep-09 Add Last, First M. IN123 Last, First M. Sample Department PR123