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Required Fields:
- Complete payee name, address, city, state and ZIP code.
- Employee ID Number. If you are a Sacramento State employee and the payment is taxable, please provide your Employee ID Number.
- Date of request (if the date does not automatically appear).
- Whether check will be picked up (please include phone number) or mailed.
- Nature and purpose of the expenditure (please be specific).
- Dollar amount.
- Account and object code to be charged.
- Whether a copy of the request is needed by the department. (Submit form in duplicate.)
- Total the dollar amounts and obtain authorized signature.
Optional Fields:
Miscellaneous Description
- We have added a fifteen-character field for your use. This field allows you to suggest a description you would like to see in your monthly reports. Descriptions longer than 15 characters will be truncated. The University Foundation at Sacramento State reserves the right to modify the description if needed. See example below for suggested descriptions.
Invoice
- If more then one invoice is being submitted, please enter the invoice number to which the description belongs. See example below.
| Amount |
Account Number |
Object |
Misc.
Desc. |
Invoice
Number |
| $15.23 |
X11110 |
8246 |
File folder |
F12345 |
| $51.60 |
X33330 |
8246 |
Office supply |
F12345 |
| $10.56 |
X22220 |
8246 |
Name tags |
F67890 |
|
The University Foundation at Sacramento State Check Request form may also be used when a vendor will not accept a purchase order and requires payment in advance. It may also be used for reimbursement of minor out-of-pocket expenses. However, it may not be used for payment of consultant fees.
The Check Request form must be processed through Research Administration and Contract Administration. Typically, routine checks are mailed or available for pick-up one week (five working days) after the completed Check Request form has been received. Depending on the circumstances, some requests may take longer to process.
Invoices and information from the vendor relative to the purchase should be attached to the back of the check request form. All original receipts or paid invoices must be attached to the form when requesting reimbursement for out-of-pocket expenditures.
The completed Check Request form must be signed by an authorized account representative per the specifications for the account stated on the Check Request. The person requesting reimbursement must obtain a signature from the Chair or Dean since the individual requesting reimbursement may not sign the Check Request.
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