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How to Complete a Payment Request Form  
 
Summary: Use these step-by-step instructions to complete a Disbursements Payment Request form.
What to do How to do it
1 Access a Payment Request form.
  1. Go to the online Payment Request form.
2 Enter the payee information.
  1. In the Payment to be Issued to & Mailing Address box:
    • If the payee is an employee, enter the payee's name and Mail Code.
    • If the payee is not an employee, enter the payee's name and mailing address.
Note: The check or direct deposit notice will be sent to the address you provide. Payments to vendors go directly to the vendors and cannot be issued to a campus department.

3 Enter the date of the request.
  1. In the Date of Request box enter the today's date.
4 Enter the Social Security number (SSN) or Federal Employer Identification Number (FEIN).
  1. If the payment is to a person, enter the payee's SSN.
  2. If the payment is to a vendor or business, enter the payee's FEIN.
5 Enter a home address.
  1. If the payment is for a personal reimbursement, skip this box.
  2. If the payment is reportable as income, provide the home address.
    Types of reportable payments:
    • Rents
    • Royalties
    • Interest
    • Fellowships
    • Personal services
Note: Disbursements will send a 1099 form to the payee's home address for tax purposes.

6 Indicate California residency.
  1. If the payee is a California resident, check Yes.
  2. If the payee is not a California resident, check No.
7 Provide country of residence.
  1. If the payee is not a U.S. citizen, provide the following information and forms (to be used in Step 16):
8 Indicate employment status.
  1. If the payee is a UC employee, check Yes.
  2. If the payee is not a UC employee, check No.
9 If payee is an employee, indicate salary status.
  1. If the employee is with salary, leave the box unchecked.
  2. If the employee is without salary, check the box.
10 Provide a description of the payment.
  1. If the payment is for goods, write an actual description of each item.
  2. If the payment is for services, write a description of the services, including the date of the service.
  3. Include the purchase order number, if the payment is for a vendor who will NOT send an invoice.
11 Provide the amount.
  1. Indicate the total dollar amount for the goods or services. Include freight and any other additional charges.
Note: Itemize freight and any other additional charges.

12 Indicate tax amount.
  1. If requesting payment for a personal reimbursement, leave the tax box blank if:
    • The sales tax was applied at the point of sale
      and
    • The sales tax is indicated on the sales receipt.
    Note: Retain the receipt for use in Step 17.
  2. If requesting payment to a vendor, enter a dollar amount for Use Tax if:
    • The vendor operates outside of California
      and
    • Sales tax was not paid at the point of sale
Need more information? See sales and use tax.

13 Enter the total amount.
  1. Enter the total amount of the payment request:
    goods or services +
    itemized freight or additional charges +
    applicable taxes =
    total amount
14 Provide contact information.
  1. Include your contact information:
    • Name
    • Department name
    • Phone extension
    • Mail Code
15 Acquire department approval.
  1. Acquire the signature of the person who has the authority to approve expenditures on the index being charged.
Note: The person who authorizes the payment request for your department must have a signature authorization on file with Disbursements.

Employees who have been delegated the authority to approve payment requests cannot authorize their own payments or reimbursements.


16 Provide accounting information.
  1. If you are charging a single index, fund, and account:
    • Enter the index, fund, and account.
    • Include one reference number to aid in identifying your payment request (optional).
    • Enter the total amount determined in Step 13.
  2. If you are charging multiple indexes and accounts:
    • Enter an index, fund, and account in each row as needed.
    • Repeat one reference number in each row to aid in identifying your payment request (optional).
    • Enter an amount in each row.
      Note: The total of the amounts entered in each row must equal the total calculated in Step 13.
17 Attach supporting documentation.
  1. Attach these documents to the payment request, when applicable:
    • Original receipts (reimbursements only)
    • Non U.S. citizen forms (see Step 6)
Note: A Certification of Academic Activity form must also be completed for honoraria payments to visitors on B-1 and B-2 visas or WB and WT classifications.

18 Attach remittance copies.
  1. If documentation must accompany the payee's check:
    • Make an additional copy of the payment request.
    • Attach the documentation (e.g., receipts, canceled checks, etc.)
19 Submit the request.
  1. Submit the payment request and any documentation prepared in Step 16 and 17 to Disbursements, Mail Code 0955.
Note: The turnaround time for processing your request is approximately three to four days from the date Disbursements receives your completed form.



Need an expert? Contact a payment request specialist.


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Last reviewed/updated on Nov. 14, 2007 (see more info)
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