Check Request Form

Important Information

  • In order for the this electronic form to be processed, ALL required fields (account number, phone number, email address, name) MUST be completed. All requests without required information will be discarded.
  • Check requests for speakers/coaches/judges/referees/DJ's: Social Security Number or Tax ID Number is required. You should obtain a contract or invoice from the individual.
  • Contracts for outside entertainment must be submitted 4 weeks in advance to Tara Frank Assistant Dean of Student Activities for her review and approval. Under no circumstances should a club sign a contract.
  • Check requests for registration fees: Copy of the registration form must be submitted along with the check request form.
  • Check requests for vendors: Copy of the Invoice or Order Confirmation is required.
  • PROCESSING TIME IS FIVE(5) BUSINESS DAYS FROM THE DATE THAT YOU SUBMIT ALL REQUIRED MATERIALS. ALL REQUIRED MATERIALS = CHECK REQUEST FORM & REQUIRED DOCUMENTATION AS NOTED ABOVE.
  • You can submit these materials via fax 610.758.6692 ATTN: Student Organizations Accounts Coordinator or drop it off at the Student Organizations Office Room A207.



* indicates required field

Your Email  *
(ex: usr222@lehigh.edu)

Your Name  *
Organization Name
Organization Account Number  *
Your Title
Box Number
Phone Number  *

Check Information
Pay to the Order of  *
Address  *
Amount  *
Tax ID or Social Security  *
NOTE: Tax ID/Social Security field need only be filled out when check is for payment to an individual for services rendered (ex: referees, DJs, guest speakers, etc.)
Description of Event and/or Expenses
(include date and location)
 *
Choose One  *
* indicates required field

I, the sender of this form, have made the above request in good faith and in conjunction with the good of the organization and university policies. I understand that the approved request is specific to these expenditures. Any other manner in which this money is spent will be in violation of policies and procedures and I may be held responsible for repayment.

       
(only click "Submit" button once)