Use this form to request a check from a U.C. Foundation account.
Enter the requested information for date, check amount, fund name and number (include area and organization codes), payee, and mailing instructions. If the disbursement is a payment for an honorarium or stipend, enter the person's social security number and home address. Indicate in "Remarks" the reason for the disbursement. Only one check will be generated per form. If there are multiple payees, a form must be filled out for each one.
Obtain authorized signature(s). The originating office and the college office should retain their copies of the form. The remaining copies are forwarded to the U.C. Foundation along with supporting original documents for processing.
If you have questions, please call the U.C. Foundation Accounts Payable Office. These forms are available from the U.C. Foundation.