PAYMENT AUTHORIZATION FORM
Most vendors require payment within 30 days. Failure to complete the form timely may result in a 'credit hold', which will effect the entire University's ability for future purchases.
WAS ORDER COMPLETE
If no, please specify in box below.
If the shipment was received in part, or if anything was damaged, or there are ANY other discrepancies, please indicate in the following space, WHAT SHOULD NOT BE PAID at this time and specify WHY payment SHOULD NOT be made for each item. Payments will not exceed quantity, and/or price as stated on the purchase order.
*IF THE REQUIRED FIELDS ARE NOT COMPLETED, THE FORM WILL NOT BE FORWARDED TO THE ACCOUNTING OFFICE.
NOTE: Purchase order numbers can be located on ALL FUNDS. Please contact the Purchasing Office if you have not received your Purchase Order.