Fillable SPO Payroll Disbursement Request HR - Request for Disbursement Form.xlsx

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SPO Payroll Disbursement Request HR - Request for Disbursement Form.xlsx

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The SPO Payroll Disbursement Request HR - Request for Disbursement Form.xlsx form is 1 page long and contains:

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Date
Note: Initiator cannot be the same person as the Payee
Name Department
LU E-mail @liberty.edu Phone #
Payee Information
1
2
3
4
$
$
$
Purpose/Description
$
Project Index Code
Account / Commodity Amount
Sponsored Programs Payroll Disbursement Request
Initiator Information
5
Total Check Amount
Approvals
(Print) (Sign) Date
(Print) (Sign) Date
Dept Supervisor/Chair
Dean/Division Leader
Provost (Academics only)
(Print) (Sign) Date
$
$
Office of Sponsored
Programs
Date
(Sign)
VP for Human Resources
(Print)
(Sign)
Date
(Print)
Employee Name
Employee ID #
Project Title
Funding Agency
Type of Project Personnel:
PD/PI
Graduate Student Undergraduate Student Administrative
1H2016*
1H2016
1H2016
1H2016
1H2016
*Payroll for all externally sponsored programs is allocated to 1H2016. If your request is for payroll related to anything
other than an externally funded project, please use the standard Request for HR Disbursement found on the
Financial Planning & Budgeting page.
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SPO Payroll Disbursement Request HR - Request for Disbursement Form.xlsx

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Completed 3 March 2020

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