Departments should recognize, it is not the normal business practice of the University to make
pre- payments for goods or services. If you wish to be granted an exception, please complete the
following form.
Department Name Contact Person
Item/Service Description E-mail of Contact
Total Cost of Pre-payment or Deposit
Explanation for Pre-payment Anticipated Delivery Date
The department above assumes all risk of loss or non-performance by the supplier or contractor
and will not hold Accounts Payable responsible for any loss or non-performance of the supplier or
contractor.
Signature of Account Director Date
Signature of UBO Date
Index Purchase order Number
Signature of Finance and Administration
Date
Once the item/service has been received, it is the responsibility of the department to notify Finance
and Administration, by making sure a receiving report is completed on the purchase order.
Please attach to this form an invoice from the vendor requesting the prepayment or deposit and
fax to 282-4725 or email to acctspay@isu.edu. (Revised 09/16)
Idaho State University
Pre-Payment Authorization Form
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signature
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