Check Request

Check Request

Payments and Reimbursements
Please read carefully.

Not reading instruction's could possibly cause a delay
1. To send a payment to a vender or contractor please upload the invoice.

2. Upload all receipts to request a reimbursement.

3. For the memo line list an invoice # and what fund to charge to. If you do not know the fund, describe what the expense is for. Example: Parts for the sink.

4. Sometimes a check recipient and who the check is made out to are different. Example: Jane Doe in bookkeeping is receiving the check, but the check is made out to ACME Inc.

5. Checks that need to be picked up in the office require a minimum of 3 days advanced notice in order to obtain signatures.

6. Checks sent through bill pay could take up to a minimum of 10 business days or longer to arrive at its destination.

7. If you request reimbursements on a regular basis, you can fill out a Direct Deposit form for a faster reimbursement. Please bring a voided check to the office to start the process.

Date of Request*

MonthDayYear
Name of requester*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.

Is the person requesting the check also the receiver?*

Yes (click next)No
Who is receiving the check?
Skip if your answer was yes to previous question.
Email
example@example.com
Phone Number
Please enter a valid phone number.

Is the check being made out to the receiver or their company/other?*

receiver, skip question 1.company/other
1. Company/Other name.
Skip if your answer was receiver.
2. How much should the check be made out for?*
3. Memo line: Fund and Invoice # if applicable *
Include Invoice # and/or Fund it should be charged to.

How would you like to receive/send your check?*

Pick up in officeDirect Deposit (Only if you have previously filled out a DD form)Bill Pay
If you chose bill pay please enter the destination address.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please submit your invoice or receipts here.

Cancelof
Should be Empty: