FSC Payment Authorization Request Form

This form must be completed in one sitting and cannot be saved to complete later.

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Note: The Payment Authorization Form requires additional personal documentation when the Payee is an international person. Before submitting this form, please email your FSC tech the appropriate documentation via system.

Indicates required field
Choose your Department/Org # (in 1 of the 3 drop downs)
Please just choose one department from the lists.
One file only.
32 MB limit.
Allowed types: bmp eps tif pict txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods xml.
Open for Additional File Upload Fields
One file only.
20 MB limit.
Allowed types: bmp eps tif pict txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods xml.
One file only.
20 MB limit.
Allowed types: bmp eps tif pict txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods xml.
One file only.
20 MB limit.
Allowed types: bmp eps tif pict txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods xml.
One file only.
20 MB limit.
Allowed types: bmp eps tif pict txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods xml.
One file only.
20 MB limit.
Allowed types: bmp eps tif pict txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods xml.
One file only.
20 MB limit.
Allowed types: bmp eps tif pict txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods xml.
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Need more speedtype/amount fields?
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Need more speedtype/amount fields?
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Payee type
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individual or entity
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student
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Individual or entity
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If petty cash custodian payment
CU Employee? (Petty cash only)
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CU Student?
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Warrant delivery
Warrant delivery
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Select one: If selecting wire transfer; Please include a completed Wire Payment Request form, see the button at the top of this form.
Payment Purpose
Would you like an emailed copy of this form sent to you?
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