Request for Chargeback
CSUSB General Accounting Office
This form is for internal CSUSB staff use. If you have any questions, please contact
Eliana Nguyen (enguyen)
in the Accounting Office at 537-3644. Thank you.
All Fields Are Required
This charge back must credit the account bearing the expense for the services or materials provided.
This chargeback cannot credit a Trust account for services or materials provided at the expense of the operating fund.
To send this information, please press the SUBMIT FORM button below. Once you have done this, information
is sent immediately. If you discover an error, please contact Eliana Nguyen in Accounting
at extension 537-3644