Revised October 5, 2018
Special Handling
(Attach to top front of Invoice)
_____ Need check by: _________________________________________________________________
Reason: _______________________________________________________________________
_____ Hold check for departmental pick up
Name and Phone number to call for pick up: __________________________________________
Business Purpose Reason for pick up: _______________________________________________
______________________________________________________________________________
_____ Please send check to: (name & address) __________________________________________
__________________________________________
__________________________________________
_____ Please send attached documentation with check.
Details: _______________________________________________________________________
______________________________________________________________________________
Clear Form