Instructions for Check Request

Use this form if you need to pay the following:

• Consultant who has not submitted an invoice.
• Honorarium for a speech or one day lecture (if an employee, complete appointment form instead.)
• Reimbursement to an FAU department from a Research Corporation grant.  The payee in this case would be FAU or vice versa).
• If you are paying an employee for services rendered, DO NOT USE this form.  You must prepare an appointment form and pay the individual through the payroll system.
• The Special Services Invoice on the Web is available in Word format or a .pdf format.  There are two options available using the .pdf format: 1) Print a blank form and then complete the form by hand or 2) you may complete the form as it appears on the screen by filling in all the appropriate information.  After completing the form, press the ENTER/RETURN key and then print.
• Check Request Form - PDF
• Any reimbursement for expenses other than travel < $1000

Instructions to Complete the Form

• Payee's Full Name - Enter First and Last Name of Payee
• Department Name - Enter the university department name.
• Payee's Z number - from Banner
• Address - Enter the Payee's complete address.  This form will be returned if this is not entered.
• Z Number or Federal Employer I.D., No, - Please verify that this number is accurate.
• Date - Enter date the form was completed.
• Send Check To - Enter the name of the person to whom the check should be sent, if different than the Payee.
• Accounting information - Enter the Index and Account Code that is paying this invoice.
• Description - Description of the nature of the payment.
• Amount - Amount to be paid.
• Services Rendered and Amount - Enter a description and the cost of services rendered.
• Authorized Signature/Title - This signature authorizes payment and will be verified by the Controller's Office.
• Controllers Office Use Only - Will be completed by the Controller's Office.
• Send an original and one copy to the Controller's Office after signatures have been obtained.  If you have comments or questions on completing the form, call Stacey Semmel at 7-3102 or email ssemmel@fau.edu