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Vendor Payment Authorization Form

  • Purchase Order number and authorization are required on this form.
  • “Vendor Payment Authorization Form” may be used when requesting a payment to a vendor for the following: license renewal, subscription renewal, membership dues, etc.
  • When requesting “Special Handling” on an invoice, mark the box at the top of the Vendor Payment Authorization Form with one of following: D for enclosed documents with the check for a specific vendor; G for check pick up request at the Bursar’s Office.

Complete all applicable sections of this form, at a minimum must have filled in name, address, and PO number along with approvals and all supporting documents and submit to the Accounts Payable Department at least five business days before the payment due date.

Vendor Payment Authorization Form