FSC Payment Authorization Request Form

This form must be completed in one sitting and cannot be saved to complete later.

  PSC Procedural Statement for Payment Authorizations 

  Wire Payment Request Form 

  International AP Payment Matrix 

  IRS W-9 Form 

 

Note the Payment Authorization Form requires a current W9. Before submitting this form, please email your FSC tech the appropriate documentation via OIT's Large File Transfer system.

Indicates required field
Choose your Department/Org # (in 1 of the 3 drop downs)
Please just choose one department from the lists.
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?
 
 
$ 
Payee type
 
individual or entity
 
student
 
Individual or entity
 
If petty cash custodian payment
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
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