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DISCRETIONARY ACCOUNT JEFFERSON SCIENCE ASSOCIATES (JSA) THOMAS JEFFERSON NATIONAL ACCELERATOR FACILITY 12000 Jefferson Ave., Newport News, VA 23606 Finance@jlab.orgPayment Request Form Date: ___

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How to fill out check disbursement request

01

To fill out a check disbursement request, follow these steps:

02

Write the current date on the top right corner of the form.

03

Provide your name, address, and contact information in the designated fields.

04

Indicate the purpose of the disbursement request, whether it's for bills, supplies, or other expenses.

05

Enter the payee's name, address, and contact information in the relevant sections.

06

Specify the amount to be disbursed in both numeric and written formats.

07

Attach any supporting documentation, such as invoices or receipts, if required.

08

Sign the request at the bottom, acknowledging that the information provided is accurate.

09

Submit the filled-out check disbursement request form to the appropriate authority or department for processing.

Who needs check disbursement request?

01

Any individual or organization that wishes to receive a payment through a check instead of other forms of payment can use a check disbursement request.

02

This form is commonly used by employees, contractors, vendors, and service providers who need to request payment through a check for their goods or services.

03

It is also used by individuals or entities who receive regular disbursements, reimbursements, or grants and prefer the convenience of receiving a check.

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What is check disbursement request?

A check disbursement request is a formal document submitted to request the issuance of a check for payment of services or goods.

Who is required to file check disbursement request?

Typically, anyone who needs to make a payment through a check for business or organizational expenses is required to file a check disbursement request.

How to fill out check disbursement request?

To fill out a check disbursement request, provide details such as the payee's name, amount, purpose of payment, and any necessary approvals or signatures.

What is the purpose of check disbursement request?

The purpose of a check disbursement request is to document and authorize a payment, ensuring proper accounting and management of funds.

What information must be reported on check disbursement request?

Information that must be reported includes the payee's name, amount due, purpose of the payment, account information, and signatures of authorized personnel.

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