[Authorization<br>(deactivated Sep 7 2022)] Finance Department

Instructions:

hopefully this:

  1. is easier than printing, signing, scanning and sending
  2. is safer than walking around asking people to sign during pandemic
  3. is less worrisome than sending around electronic photos of signature
  4. fills up the gap of google form for not having signatures
  5. enables the creation of online forms faster than development of systems for each form

 


Authorization
(deactivated Sep 7 2022)

Finance Department

user: Login with AOLIS employee account for college enrollment | Login with AOLIS Student Account | Login with @aup.edu.ph AUP Email account | | time: Fri Apr 26 09:31:39 PST 2024 , forminstanceid: 0 Last signed: . Last edited: . | Signatures/Approvals: 0/0



Date

Hospital / Physician

Employee

Patient

Procedure / Treatment

Referred by:

Physician on Duty
Please login to Approve/Decline/Sign.

This is a sequentially required signature.
Health Service Director
Please login to Approve/Decline/Sign.

This is a sequentially required signature.



This is to authorize the above-stated name to charge:



Others (for non-dependent only)

The difference will be settled in the hospital by the employee.

Authorized by:

Assistant VP for Finance / VPFinance
Please login to Approve/Decline/Sign.

This is a sequentially required signature.
| Save first before Send | | |
History
date_timeuserinfoinfo