Ad Hoc Payment Request Form

Ad Hoc Payment Spend Category List

Purpose: The purpose of this form is to request and authorize payments to individuals or entities for non-employee compensation, such as payments to tax or other regulatory agencies, refunds to the grantor, refunds to third-party sponsors, etc.

If the payment is a one-time purchase, the Ad Hoc Payment request is appropriate.

Once completed and signed by all approvers, this form should be submitted through the Accounts Payable Documents Portal. For assistance with this form, please contact Accounts Payable at 501-916-3318.

If the payment is not a one-time purchase, follow the Create a Supplier process in Workday and enter a requisition, or create a Supplier Invoice Request (SInvR) for Check Enclosed payments.

Effective immediately, all supporting documentation for Ad Hoc Payment Requests must be prepared on departmental letterhead and include the recipient’s name, the payment amount, and a detailed explanation of the purpose of the payment. Please ensure that the Ad Hoc Payment Request is signed by the Requestor, the Budgetary Head, and the Office of Research and Sponsored Programs (ORSP), when applicable. Verify that the appropriate Workday worktags are used and include a completed W-9 form when required.

Form Instructions Below

(Downloadable Instructions)