Rev 06/16
Louisiana State University
Office of Accounting Services
Accounts Payable & Travel
217 Thomas Boyd Hall
SPECIAL HANDLING PAYMENT REQUEST AS209
Request Date __________________________ Separate Check Y
Department
Contact
Phone Fax E-mail
Supplier
Amount Expenditure Date
NON-PRIORITY SPECIAL HANDLING
The attached payment request needs non-priority special handling. It is not a request for priority
handling/payment and it will be proc
essed in the order in which it was received in the AP & Travel Office.
An enclosure has been attached that should be mailed with the check (e.g., UPI and order form, subscription)
Note: No enclosure should be submitted to Accounts Payable if the vendor is paid electronically. The department must
send the required enclosure directly to the vendor under a separate cover (i.e., scan).
Notify department when check is ready (for contracts held in department, local registration fees, permits, etc.)
Contact Name _______________________ Phone ___________________
Justification: (Required) ________________________________________________________________
_________________________________________________________________
PRIORITY HANDLING
The attached payment request needs priority handling for payment by _______________________________
for the reason indicated below.
Notify department when check is ready (for contracts held in department, local registration fees, permits, etc.)
Contact Name _______________________ Phone ___________________
Other __________________________________________________________________________________
Justification: (Required) ____________________________________________________________________
____________________________________________________________________
Auth
orized by
_______
____________________________ __________________________________ ____________________
Department Head Printed Name Date
-----------------------------------------------------------------------------------------------------------------------------------------------------------
FOR ACCOUNTING SERVICES USE ONLY
_______
___________________________________ _________________________
Approved by Date
