Withdrawal Form

Foundation Withdrawal Form

Requests will now be FY26, thank you for your understanding!
Foundation Approval 1
example@example.com
Foundation Approval 2
example@example.com
Foundation Contact
example@example.com
President Name*
President Email*
example@example.com
Additional Forms if Needed:

WOU Sub W9

Direct Deposit Authorization

DO NOT SUBMIT W9 WITH YOUR WITHDRAWAL REQUEST. EMAIL THEM SEPARATELY TO GROSHONC@WOU.EDU USING GMAIL'S CONFIDENTIALITY MODE OR TURN THEM IN HARDCOPY.

FOLLOW THE LINK BELOW FOR A GMAIL CONFIDENTIAL MODE TUTORIAL.

Gmail Confidential Mode
Email of Person Preparing Form*
example@example.com
Person Preparing Form*

First NameLast Name
Phone of Person Preparing Form*
Please enter a valid phone number.
Foundation Fund Name & Number (5-digit number, NOT an index)*

Fund NameFund Number
Grant(s)
Are you withdrawing from multiple Funds?*

YesNo
Additional Foundation Fund Name & Number 1

Fund NameFund Number
Additional Foundation Fund Name & Number 2

Fund NameFund Number
Do you have authority to sign off on expenditures from this Foundation Fund? (OLD)*

YesNo
Is this an Athletics Fund?*

YesNo
Is the Fund related to a specific sport?*

YesNo
Is the Payee the Athletic Director?*

YesNo
Head Coach Name *
Head Coach Email*
Athletic Director Name *
Athletic Director Email*
Who has the authority to approve this expenditure? (cannot be the payee)*
Authority's Name
What is their email?*
Authority's email
What are you requesting?*
Start Date*

MonthDayYear
Start of trip, event, etc.
End Date*

MonthDayYear
End of trip, event, etc.
Advance Reminder Date

MonthDayYear
Date
DISCLAIMER:

Cash advances must have receipts AND/OR leftover cash returned to the Foundation with a deposit form AND check stub within two (2) weeks of the end date.

Receipts + Cash MUST be equal or greater than the original amount requested.
Payee is a..?*
CASH ADVANCE/CASH BOX REQUESTS TO OUTSIDE PERSONS ARE NOT ACCEPTED. PLEASE SUBMIT REQUEST FOR STAFF, FACULTY, OR STUDENT PAYEE.
Name of Payee's Manager*
Manager's Name
Email of Payee's Manager*
example@example.com
Payee Name*
No employee may authorize a payment for themselves. The approval of a manger/superior is required. If payee is the head of their department and you are unsure who needs to approve, please refer to this org chart.

If payee has no superior besides President Peters, please Enter "Jesse Peters" and "president@wou.edu".

If you are still unsure, please contact Gretchen Olufson at olufsong@wou.edu.
V#*
Student, Staff, or Faculty
Payee Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Payee Identification*

W9 WILL be sent to the FoundationW-8 (Foreign Vendors) WILL be sent to the FoundationW9 or W8 ALREADY on File WITH THE FOUNDATION
Delivery Method*

Pickup CheckMail CheckDirect Deposit
If you have not submitted a W9 or Direct Deposit Authorization for the payee before, you can find the forms at the links below:

W9 Form

Direct Deposit Authorization
Additional Delivery Instructions
Payee's Email - This email will be emailed when check is cut!*
example@example.com
Index/V# AND Account Code*
Receipt Date (earliest if multiple)

MonthDayYear
Invoice Date

MonthDayYear
Date
Invoice #
Amount of Expenditure*
Reason for Expenditure*
Supporting Documentation (Receipt, Invoice, etc.)

Cancelof
Rank Priority or Urgency*

1

2

3

4

5

1 is Low Priority, 5 is High Priority
GL Fund Name & Number*

Fund NameFund Number
Additional GL Fund Name & Number 1

Fund NameFund Number
Additional GL Fund Name & Number 2

Fund NameFund Number
GL Coding*
Available Funds:*
Additional Notes
Payment #
SENSITIVE INFORMATION CERTIFICATION*

I certify that I have not attached any supporting documentation that includes sensitive information such as a W9, W8 or a Direct Deposit Authorization.
If supporting documentation with sensitive information is included in this submission, the submission WILL be rejected and deleted by the Foundation, and resubmission WILL be required.
Should be Empty:

Foundation Withdrawal Form