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Idaho State University - Disbursement Request

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DISBURSEMENT REQUEST
Revised 3/2016
All requests for disbursements from Foundation accounts must be accompanied by this form, which includes the account
holder’s signature. Disbursements will not be completed without supporting documentation. Please attach receipts,
invoices, expense statements, etc. as documentation (see instructions on page 2).
Department:
Date:
Contact:
Phone:
DISBURSEMENT REQUEST INFORMATION
Foundation Fund Name:
Fund Number:
Amount:
Select one:
☐
Funds transfer to ISU Index Code:
☐
Transfer between Foundation Accounts
From:
To:
☐
Check payable to:
Mail Check to:
Explanation of Disbursement/Transfer:
AUTHORIZATION (signature required: dean, chair, or authorized signatory)
I hereby certify that this disbursement conforms to the criteria described in the fund agreement or other guiding
documents for this fund.
Name (Printed):
Title:
Signature:
Date:
UBO Signature:
Date:
✔
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INSTRUCTIONS FOR DISBURSEMENT REQUEST
Revised 3/2016
page 2
STATE BOARD POLICY STATEMENT
Each affiliated foundation shall operate as an Idaho nonprofit corporation that is legally separate from the
institution and is recognized as a 501(c)(3) public charity by the Internal Revenue Service. The management and
control of a foundation shall rest with its governing board.
Transactions between an institution and an affiliated foundation shall meet the normal tests for ordinary
business transactions, including proper documentation and approvals. Special attention shall be given to
avoiding direct or indirect conflicts of interest between the institution and the affiliated foundation and those
with whom the foundation does business.
INSTRUCTIONS FOR REIMBURSEMENT REQUESTS AND DOCUMENTATION
• The Foundation reimburses University accounts for eligible expenses rather than paying vendors directly.
• Every check request must include an explanation of the expenses and documentation supporting those
expenses. Appropriate documentation includes invoices, documentation of labor expenses (such as Banner
reports with appropriate notations), travel report summaries, etc. When documentation includes expenses for
which no reimbursement is requested, please highlight the items for which reimbursement is requested.
• The Foundation reserves the right to request additional information on expenditure details prior to fulfilling a
request.
• The Foundation does not make payments directly to University employees or students or their immediate
families. Payments should be processed through the University, and a reimbursement request to a University
account can be processed through the Foundation.
• The Foundation does not pay scholarships directly; payments of all scholarships must be processed through the
ISU Scholarship Office.
• Return the completed Disbursement Request form, including supporting documentation, to:
Shauna Croft
ISU Foundation
921 S. 8
th
Ave Stop 8050
Pocatello, ID 83209-8050
email: crofsha3@isu.edu
Questions? (208)282-3015
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Completed 27 May 2020

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