New Account Change in contacts
1. What type of organization are you? Student
2. If you are a student group have you registered your organization with Student Involvement? Yes No
(If you have not registered, you will have to do this before opening a Safekeeping Account.)
6. Who is the Sponsor / Budget officer for the fund?
Name:
Department:
Phone:
Email:
myWSU ID:
7. Who is the office contact?
Name:
Department:
Phone:
Email:
myWSU ID:
8. Who is the student representative? (only required for student organizations)
Name:
Department:
Phone:
Email:
myWSU ID:
Email sent for set up/changes Date: Fund:
Detail code created Date: Org:
White envelope mailed Date: Detail Codes:
Date:
4. What will this account be used for?
5. How will the account be funded?
Faculty/Staff
This form is to be used for requesting a new Safekeeping Account to be set up and/or to make contact changes. Please fill out the following information and submit the
completed form to Accounts Receivable at wsuaccountsreceivable@wichita.edu
or can be printed and mailed to Box 38. If you have any questions, contact Accounts
Receivable at 316-978-3333.
3. What is the name of the account?
Please mark what box applies to your group
Revised May 2018
Box:
Email sent confirming set up/updated
Safekeeping Account Form
• Must be faculty/staff member.
• Will enforce WSU Policies & Procedures 13.01-Deposit of Cash Receipts.
• Responsible for all recordkeeping in regards to monies in account.
• Responsible for 1099 reporting at the end of each calendar year.
• Will sign all check requisitions.
• Will have access to Self Service Banner and/or Reporting Services.
• Must be faculty/staff member.
• Will assist the sponsor with all responsibilities listed above.
• Responsible for working with student representative by furnishing
information on account.
• Will be familiar with WSU Policy & Procedures 13.01-Deposit of Cash
Receipts.
• Will work closely with sponsor and/or office contact regarding information
on account.
• Will retrieve account statement from the office contact.
