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[null,"All Items marked with an asterisk (*) are required. No handwritten forms accepted."]
["Submit to arcust@usf.edu"]
[null,"*Date of Request:"]
[]
[]
[]
[null,"*USF Department Name:",null,null,null,null,"This should match the Bill Source Description"]
[]
[null,"*Bill Source:"]
[null,null,null,null,null,null,null,"Check if New"]
[null,"*Billing Specialist:"]
[null,"*Credit Analyst:"]
[null,"*Collector:"]
[null,"*Bill Inquiry Phone:"]
[]
[null,null,"Customer Information"]
[]
[]
[null,"*Customer Name:"]
[null,"*Country:"]
[null,"*Address Line 1/Attn To:"]
[null,"*Address Line 2:"]
[null,"*City:"]
[null,"*State:"]
[null,"*Zip Code:"]
[null,"*Phone with Area Code:"]
[null,"Tax Exemption Cert:",null,null,null,null,"(Required if Tax Exempt) 1"]
[]
[null,"Only Complete if Customer wishes to receive Invoices by Email"]
[null,"Do NOT enter an email if the customer wishes to receive paper invoices."]
[null,null,"Email Address:"]
[null,null,"CC Email Address:"]
[]
[null,"*Preparer:",null,null,null,null,"Date:"]
[null,"*Approver:",null,null,null,null,"Date:"]
[]
["Submit to arcust@usf.edu"]
["1. If Tax Exempt, please submit copy of Tax Exemption Certificate with request."]
["For general Billing and Accounts Receivable Questions: billingarhelp@usf.edu"]
[null,null,null,null,null,null,"UCO 06/27/2022"]