Check Request Form

We understand that sometimes a physical check is needed to pay an outside vendor. Please start with YOUR information before proceeding to the vendor and check amount information.

Checks will not be issued without first receiving a form W-9. You may download the W-9 here: https://www.irs.gov/pub/irs-pdf/fw9.pdf

Name

This address will receive a confirmation email

Phone

Address

Check Information:

Who should we make the check out to (payee):

Amount:

What should we do with this check?

If we are mailing this check, please tell us where to mail it?

Documentation

Completed W-9

Upload (8MB)

Supporting documentation (ie, invoice or .pdf of email request)

Upload (8MB)

Description

Please fill out this form and click submit.

Check Request Form

Description

Please Fix the Following