Accounting and Financial Services
Request for Accounts Payable Check Pickup
*****Submit this form with your invoice/purchase order.*****
I request a check pickup from the Accounting Office for the following Requisition/Purchase
R0__________ P0__________ Vendor __________________________
Requester Name ______________________________ Phone ___________________
For the following reason:
Contract Obligation (attach copy of contract with payment terms highlighted)
Confidential matter, explain: ________________________________________
Submission of this form is not a guarantee that your request will be granted. You will be
contacted by Accounting personnel letting you know if your request has been granted.
Reasons that requests will NOT be granted:
• You desire to pick up the check instead of it being mailed.
• You want to hand-deliver the check to an individual or company.
• You have paperwork to attach to the check. (Instead, send the paperwork to us to be
mailed with the check
• You promised someone a check by a certain time. (Please don’t promise timelines to
**Either tri-fold your additional pages or attach a note indicating that materials need to be sent with the check.
Accounting Office Use:
Not Approved Comments:____________________________