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Check Request Form
Please submit all check requests by Monday 5:00 pm.
Checks processed, signed, and distributed or mailed by Tuesday 4:30 pm.
Staff reimbursements, for work expenses purchased with personal funds, are written on the last Tuesday of each month.
Check information
Today's date
*
Payee
*
Confirmation email
*
Payee address
City
State
Postal code
Designation
Campus
*
Department
*
Line item
*
Brief description of expenditure
*
Amount
*
Submission information
Person submitting the check request
*
Delivery option
*
Delivery option
A
Mail to:
B
Return to:
Additional comments or instructions
Attach a receipt or invoice
Click to choose a file or drag here
Submit
