RTA/CTA Transit Voucher Pick-up
Human Resources

Transit Voucher Pick Up for Employees

with Offices Away from the Auditorium Building

This procedure is designed to allow employees who are housed in either the Gage Building or ATRU Offices and receive a transit voucher/CTA card to partner with co-workers to pick up their transit voucher/CTA card from the Auditorium Building.  This policy requires that both employees designate each other as their partners in this program.  It is the responsibility of those employees that wish to participate to identify a partner, complete this form and return it to Clara Gong in Human Resources.   Both designees accept full responsibility for any transit vouchers should they be lost, stolen or damaged. 

This agreement can be cancelled at any time by either employee by completing this form and forwarding it to Clara Gong.  Roosevelt University reserves the right to cancel this program at any time.

Employee Name:______________________________           

Dept: ______________________________________

Work Extension:______________________________    

Designee Name: ______________________________           

Dept: ______________________________________

Work Extension:_____________________    

(   )         I hereby authorize _____________________________________ to serve as my designee to pick up my transit check/voucher from Human Resources.  I understand that I am fully responsible for any lost, stolen, or damaged transit vouchers/CTA cards that are picked up and signed for by my designee.

Signature: __________________________________  Date: ________________

(   )         I hereby request to cancel my participation in the transit voucher pick up program effective immediately.

Signature: __________________________________  Date: ________________

Human Resources