FSC Payment Authorization Request Form

Indicates required field
Choose your Department/Org # (in 1 of the 3 drop downs)
Please just choose one department from the lists.
Please attach a copy of a completed IRS W-9 Form. See the IRS W-9 Form button at the top of this form.
One file only.
32 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.
One file only.
32 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.
Open for Additional File Upload Fields
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.
Need more speedtype/amount fields?
 
 
Need more speedtype/amount fields?
 
 
Is Payee a US citizen?
 
 
If no, please see the International AP Payment Matrix button above for additional documents required.
CU Employee? (Petty cash only)
 
 
CU Student?
 
 
Warrant delivery
Warrant delivery
 
 
 
 
Select one: If selecting wire transfer; Please include a completed Wire Payment Request form, see the button at the top of this form.
Payment Purpose
Would you like an emailed copy of this form sent to you?