Log in and this form will be prefilled with your profile data (like email address and default department).

Please see Procedure Overview at the bottom of this form for instructions and next steps.

Required fields are shaded yellow and marked with a red asterisk.

Triage Information
Please call to confirm. Shared Services will expedite processing according to University best practices.
Department and Budget Information
A confirmation will be sent to this address.
(Format: xxx-xxx-xxxxxx)
Payment Information
$
Indicate specific object and sub-object codes. If none are noted, CASSS will determine the most appropriate codes.
Honoraria only:
You can also copy and paste into this box.
Attachments

You may add up to three documents.  Remember to click the "Upload" button after selecting the document.  Do not attach documents that contain sensitive data such as SSN.

Files must be less than 4 MB.
Allowed file types: txt rtf odf pdf doc docx xls xlsx.
Files must be less than 4 MB.
Allowed file types: txt rtf odf pdf doc docx xls xlsx.
Files must be less than 4 MB.
Allowed file types: txt rtf odf pdf doc docx xls xlsx.

Submission of this form serves as confirmation that pertinent approvals are on file in department.

Please Note: This form may be used for payments to individuals or companies. For reimbursements, please use the reimbursement form.

Procedure Overview

  1. Intake form is completed by unit administrative staff.  Submitter receives confirmation email, including FMRT ("RT") ticket number.  All further correspondence regarding the request occurs through RT.
  2. Shared Services confirms the most appropriate payment type (honorarium, non-PO invoicing, etc.).
  3. Shared Services contacts payee for tax identification, address, etc., as appropriate.  Please note: Tax identification numbers should never be submitted through email or RT.  Shared Services collects these through phone or fax.  
  4. Once all information has been collected, Shared Services submits payment through Ariba, includes the Ariba reference number in the "Reference" field of the RT ticket, then closes/resolves the ticket in RT.  Payment approvals are tracked through Ariba

Please complete travel arrangement or reimbursement request form for travel associated with this payment.

Relevant Services: