Direct Pay, Single Payee

This is the standard form to be used by UALR employees for the purpose of authorizing payment out of liability accounts (including agency accounts), and non-compensatory stipends that are not financial aid. This form is not used for honorariums unless paid out of an agency fund.

Direct Pay, Single Payee

NAME: Name of the person or company that is being paid (payee).

VENDOR ID: BANNER ID number for the above person. (If it exists it can be found with FAIVNDH and clicking the search button besides the VENDOR field.)

TOTAL AMOUNT: Total amount to be paid.

DATE: Date of the check request.

ADDRESS: Address of the Vendor.

REFERENCE: Invoice number or general encumbrance number.

FUND: BANNER fund number (first part of the FOAPAL)

ORG: BANNER organization number

ACCT: BANNER account number

PROG: BANNER program number

ACTY: BANNER activity number

LOCN: BANNER location number

P/F: Partial or full payment

AMOUNT: Amount to be paid on the FOAPAL for this line.

DESCRIPTION AND SPECIAL INSTRUCTIONS: Special instructions for the payment of the check, disposition of the check, and any further communication to the AP accountant regarding the check.

CONTACT EMAIL ADDR: E-mail address of the person to be contacted if there are any questions by accounts payable.

PHONE NUMBER FOR CASHIER: If the check is to be picked up, this is the phone number the cashier is to call when check is ready.

DISPOSITION: Circle either MAIL, HOLD, or RETURN TO DEPT. MAIL or nothing circled means the check will be mailed. HOLD means the check will be held at the cashier’s office for pick-up. RETURN TO DEPT means the check will be sent through campus mail to the requesting department.

REQUESTED BY (SIGNATURE): The name of the requestor of the check.

APPROVED BY BUDGETARY HEAD (SIGNATURE): The signature of the person who has the authority to spend money out of this fund.

PHONE NUMBER (REQUIRED): Phone number of the person who requested the check.

DATE: Date of signatures. Direct Pay, Single Payee (Excel Format)