Skip to main content

Check Request Form

Instructions:

  • Only 1 vendor per p-card request
  • Multiple invoices from the same vendor can be combined on one check request
  • Check request limit is $2,500.00, unless an exempt item (Registrations, memberships, certifications, shipping)
  • Ensure that sales tax is not included on invoices





Requestor Info






YesNo
If no, please attach a completed New Vendor Profile Form

Invoices









Item Description & Bus. Purpose





Item Description & Bus. Purpose





Item Description & Bus. Purpose





Item Description & Bus. Purpose

YesNo



YesNo


1:
2:
3:
4:
5:

YesNo
If yes, please attach


Last updated: 8/18/2017