New Supplier/Payee Form
Please complete this form so the admin team can help facilitate (non-PO/Visitor or PO) payment to a supplier/service provider or individual visitor. You will receive a response within 3 business days.
Requestor's Name (First & Last Name) *
Requestor's Email Address *
Requestor's Phone (e.g. 650-555-1234) *
Payee/Supplier Category *
Do you anticipate paying this payee again in the future? *
Reason for Request
Please describe the why this individual or organization is being paid. Is there a specific assignment/project or event/activity for which the payee/supplier is being paid?
Payment Request Description (Include details: Who, What, Where, When, Why) *
Location of the work/event/activity for which the payee is being paid *
Supplier/Payee Information
Supplier/Payee's Citizenship/Residence
Clear selection
If Foreign Business, Country of incorporation
Individual Payee's Name (First & Last) OR Business Name *
Website URL (if applicable, put "N/A" if individual) *
Payee's Phone Number/Contact Phone Number for Suppliers *
Payee's Fax Number/Supplier's Fax Number
Payee's Email/Contact Email for Suppliers *
Payment Method Requested by Payee/Supplier *
Special Payment Types (Fees may apply)
Clear selection
Street Address *
Address Line 2
City *
State *
Zip Code *
Country *
Purchase Order Delivery Email (if different than supplier contact email entered above)
Other important details not captured above *
Submit
Never submit passwords through Google Forms.
This form was created inside of Stanford University. Report Abuse