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Student Check Request
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This form is to be used for all student payments NOT related to travel reimbursment, financial aid, or employment/payroll.
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Student's Name:
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Address:
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Address:
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City, State, Zip:
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Banner ID# (Required):
930 __ __ __ __ __ __
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FundAccountAmount
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FundAccountAmount
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FundAccountAmount
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Total
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Indicate the purpose of this check request:
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Please contact the Office of Financial Aid if you are requesting a student scholarship, grant, prize, or award.
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Please contact the Travel Office at 828.251.6243 for travel reimbursments.
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Description for check:
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The description above should be a short description (20 characters maximum) that will be listed in Banner and print on the check.
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Full Description:
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The full description should include additional information such as the purpose/use of the supplies, the type of service(s) the student provided, or the selection criteria of the employment service award.
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Two aproval signatures are required to process a student check request.
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Requestor
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Printed Name
Signature
Department &
Date
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Dept. Chair/Fund
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Manager Approval
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Printed Name
SignatureDate
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Fund Manager, Dean,
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Vice Chancellor Approval
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Printed Name
SignatureDate
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Instructions:
Mail to Payee:
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Return Check to:
CPO #
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Special Instructions
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Accounts Payable: acctspayable@unca.edu or 828.251.6663
Office of Financial Aid: finaid@unca.edu or 828.251.6535
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Accounts Payable Use Only
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Student ID:
Document Number:
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Please return this form to the Accounts Payable Office located in 106 Philips Hall, CPO 1423
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Revised: 12/14/2023
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