Payment Request Form

The Payment Request Form is used to request payment for transactions that don’t require a purchase order (PO), including cell phone/phone lines, donation/contribution, government fees/visas, guest lodging, honorarium, journal publication fees, memberships, postage/small package courier, refunds, registration fees, student summer programs, subscriptions to periodicals, and utilities.


Do not use the Payment Request form for the following:


Payment Handling and Delivery Instructions

Best practice is to mail the check directly to supplier; however, there may be a valid business reason to send the check to the UCSF Campus Department requesting payment. For delivery to department by campus mail, enter the recipient's name and campus box number in the Payment Message on the form (e.g., Bill Smith Box 9999).


Instructions


Frequently Asked Questions

Last Updated: August 2023

 

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