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CSUDH Foundation
Accounts Payable

 

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        GENERAL REQUIREMENTS FOR EXPENDITURES

All Foundation expenditure requests are reviewed for completeness and compliance with Foundation policy and procedure. The following is a summary of key factors which are required for disbursements:

1. Account Number and Object Code - A valid Foundation account number and the appropriate object code.

2. Availability of Funds - Funds must be available in the account for an expenditure to occur.

3. Original Documentation - Original invoices, receipts, and
supporting documents are required
. If originals are not available, the following may be accepted at the discretion of the Business Manager:

a. A legible copy of the original receipt with a brief written explanation as to why the original is not available and a statement that the expenditure is not being reimbursed by any other source.

b. If no copy is available, the account director should write and sign a brief memo to the Foundation Business manager referencing the Foundation account number, describing the transaction and amounts involved, stating the reason no original or copy is available, stating that it is a valid and allowable expenditure from the account, and that the expenditure is not being reimbursed by any other source.

If it is necessary to have the original receipts returned, a brief written request should be submitted with the expenditure request. The Foundation will then stamp the receipts as being reimbursed by the Foundation, copy them for our records, and return them as requested.

4. Explanation of the Expenditure - A complete description of the item(s) or service(s) being purchased or reimbursed. If not apparent (e.g. food and hospitality expenditure), include a brief explanation as to how the expenditure will benefit the educational mission of the CSU.

5. Authorized Original Signature - An authorized account signer must approve the expenditure. The signature must be currently on file in the Foundation Office and the Signature must be original (no signature stamps or photocopies). If the expenditure is made to the signer, the signer's supervisor must also sign approval for the expenditure.

ACCOUNTS PAYABLE CYCLE

Foundation accounts payable checks are issued every Tuesday and Friday by 4:00 p.m. of that day unless interrupted by a holiday schedule or an unavoidable circumstance. Completed paperwork must be received by noon three working days prior to the day checks are to be issued:

Paperwork Deadline Checks Ready for Pick-up

Noon, Thursday 4:00 p.m., Tuesday

Noon, Tuesday 4:00 p.m., Friday

If there is a problem with the paperwork received (i.e. incomplete, additional signatures required, funds not available, etc.) the check may not be issued on schedule.

If you request a hand-typed check and you cannot wait for the regular check cycle, your account will be charged a $5.00 rush check charge per check in addition to the normal administrative fees.

SALES TAX LIABILITY FOR PURCHASES

The tax-exempt status of the Foundation only applies to corporate income tax, not to sales tax. With the exception of items purchased for resale and a few other rare transactions, purchases made by any Foundation account are liable for sales tax. A vendor must not be told that a purchase is exempt from sales tax unless it is known that the rare exception exists and written approval has been received from the Foundation Business Manager. Even if the vendor does not include sales tax on the invoice, the Foundation will still be held liable for the sales tax on taxable transactions. Therefore, if sales tax is not charged by a vendor on a taxable transaction, the Foundation will calculate the sales tax amount and charge the account for the invoice amount plus tax.

USE OF OFF-CAMPUS PUBLICATION SERVICE

Campus policy requires the use of the CSUDH Office of Publication for any publications which include flyers, flatsheets, brochures, booklets, posters and newsletters. If a publication cannot be prepared and printed on campus, any off-campus publication service will be honored by the Foundation Office only if the CSUDH Publication Policy review process has been followed and approval/permission from the publications office is attached to a Foundation Purchase Order or Check Request. A sample Publication Routing form follows. Contract the office of Publications for more information.

PURCHASING POLICY

Expenditure Authority and Documentation

The CSUDH Foundation is fiscally responsible for all expenditures made from any accounts under the control of the Foundation. The Foundation must ensure that all expenditures will benefit the educational mission of the CSU. This responsibility includes expenditures for supplies, equipment, services, stipends, awards, scholarships, and any other type of payment to businesses or individuals. Accordingly, it is the fiduciary responsibility of the Foundation to maintain documentation for expenditures consistent with good business practice and remain in compliance with applicable documentation standards required by Federal, State, and Local governments. Original receipts are required for expenditures unless unavailable, in which case copies or written explanations may be accepted. If the documentation provided is not adequate, the expenditure may be disallowed. All expenditures must be in compliance with Foundation policy, unless an exception is granted by the Foundation policy, unless an exception is granted by the Foundation Executive Director. Foundation procedures should be followed when any expenditure request is made.

Vendor Selection

The Foundation supports general campus policy for the use of campus vendors whenever feasible. If the use of campus vendors is not feasible, outside vendors may be used. In selecting a vendor, the variables of price, terms, and conditions offered by the vendor should be considered. Generally, price is the most important consideration in vendor selection. In some cases, however, factors such as payment terms, product quality, existing equipment compatibility, and delivery schedules may be equally important.

The Foundation also supports the utilization of small business and minority-owned business sources of supplies and services. Efforts shall be made to allow these sources the maximum feasible opportunity to compete in the procurement process.

Competitive Bidding

The Foundation is committed to a program of active competition in the purchasing process. If purchases (supplies, equipment, or business services) in the amount of $1,000 up to and including $5,000 are considered as a single unit item, a Foundation Purchase Justification Form (FDN #153) must be completed with at least three verbal quotes and submitted with a Foundation Purchase Order (FDN #156) to support the vendor selection for the purchase. For purchases in excess of $5,000 which are considered as a single unit item, the Purchase Justification Form must e completed with at least three written quotes attached and submitted with a Foundation Purchase Order to support the vendor selection. Purchases in the amount of $1,000 or more from sole source vendors must have a completed Purchase Justification Form submitted with a Foundation Purchase Order to justify the sole source vendor selection. Competitive bidding may be required depending on the source of funds (i.e. granting agency) or can be requested at the discretion of the account director. If competitive bidding is requested or required, a Foundation Invitation For Bid (FDN #154) and Competitive Bid Justification Form (FDN #155) must be completed and Foundation competitive bidding procedure followed.

SUPPLIES AND EQUIPMENT PURCHASES

Purchases of $1,000 or more

All purchases in the amount of $1,000 or more, including tax and all related charges, must be approved by the Foundation prior to commitment. Accordingly, a Foundation Purchase Order Form (FDN #156) must be submitted to the Foundation prior to making the purchase and in accordance with Foundation procedures.

Purchases of less than $1,000

Purchases of less than $1,000 can be made on a reimbursement basis, although the pre-approved purchase order method is preferred. A Foundation Check Request (FDN #157) must be submitted in accordance with Foundation procedures.

Purchase Advance

Purchase advances are not allowable except in extreme cases and upon the approval of the Foundation Executive Director. Purchases which require prepayment are allowable with the appropriate original supporting documentation attached to the purchase order or check request.

Title to equipment purchases

Title to all equipment purchases by Foundation Campus Program accounts remains with the department or area which purchased the equipment. The department or area is responsible for the control and maintenance of the equipment.

Title to all sponsored Program accounts equipment is given to the University at the end of the grant period if allowed by the granting agency. The grants administrator will tag the equipment and record the equipment in the grant records at the time of purchase. A Foundation Equipment Purchase/Title Transfer Form (FDN #158) will be completed at the time of transfer by the Foundation grants administrator.

Title to equipment purchased by all other accounts remains with the Foundation unless a transfer to the University is approved by the Foundation Executive Director.

BUSINESS SERVICE PURCHASES

Payments to businesses for services less than $1,000

All payments to businesses for services equal to or more than $1,000 must be approved by the Foundation prior to commitment. Accordingly, a Foundation Purchase Order Form (FDN #156) must be submitted in accordance with Foundation procedure prior to the performance of the service.

Payments to businesses for services less than $1,000

Payments to business for services less than $1,000 can be made on a reimbursement basis, although the pre-approved purchase order method is preferred. A Foundation Check Request (FDN #157) must be submitted in accordance with Foundation procedures.

Advance payments to businesses for services

Advance payments to businesses for services is not allowable except in extreme cases and upon the approval of the Foundation Executive Director. Payment for business services will be made only after performance of the service. A reasonable down payment or retainer fee can be requested with appropriate supporting documentation.

STIPENDS

The Foundation defines stipends as periodic payments to individuals for allowance purposes, not for the performance of services. Allowances are amounts of money given to allow an individual to study or conduct research in an effort to further themselves CSUDH scholastically.

Stipend payments will be made after a Foundation Stipend Payment Form (FDN # 162) is submitted and approved in accordance with Foundation procedures.

PRIZES AND AWARDS

Prizes and awards are payments to individuals as a result of a judging or decision. Payment shall be made after a Foundation check Request (FDN #157) is submitted to the Foundation and approved for payment. Payments to individuals who are employed by the CSUDH Foundation or CSU Dominguez Hills at the time of payment must be paid through the Foundation payroll system.

SCHOLARSHIPS

A scholarship is a gift of money or other aid to help a student. The Foundation has a working arrangement with the CSUDH Financial Aid Office in which payments of scholarships paid directly to the student are processed through the Financial Aid Office. The Financial Aid Office should be notified if a student is to receive a scholarship from funds held by the Foundation. A Foundation Check Request (FDN #157) should then be submitted for payment to CSUDH Financial Aid. Other arrangements for issuing scholarship payments can be arranged with the approval of the Account Director, Foundation Executive Director and Financial Aid.

HONORARIUMS

Refer to CSUDH Foundation Independent Contractor Policy.

PURCHASE JUSTIFICATION FORM INSTRUCTIONS

Use CSUDH Purchase Justification Form (FDN #153)

1. Contact at least three vendors for quotes; for purchases of $1,000 to $5,000, verbal quotes; for purchases over $5,000, written quotes. After all quotes received, select a vendor. Sole source vendors, complete steps 2,3,5 & only.

2. Complete the vendor information for the selected vendor:

Vendor name - complete name of selected vendor.

Address - vendor address

Phone # - vendor phone number

Total cost quoted - total cost for item(s) including tax and freight

If verbal quote, name of vendor contract - the name of the person who gave the quote

If written quote, attach to this form - attach the written quote to the justification form.

3. Complete selection justification - state the reason the selected vendor was chosen over the other vendors. State considerations such as price, product quality, terms, existing equipment compatibility, etc. which will justify the vendor selection. Indicate if the chosen vendor is a small business and/or minority-owned.

4. Complete other vendor quotes information for at least two other vendors. If more that two other vendors were contacted, list the information on the back of the form:

Vendor name - complete name of selected vendor

Address - vendor address

Phone # - vendor phone number

Total cost quoted - total cost for item(s) including tax and freight

If verbal quote, name of vendor contract - the name of the person who gave the quote

If written quote, attach to this form - attach the written quote to the justification form.

5. Attach the completed purchase justification form with any written quotes to a Foundation Purchase Order (FDN #156). The purchase order should be made to the selected vendor. The items on the purchase order must agree to the items quoted and the total cost must be the same as the total cost quoted for the selected vendor.

6. Follow procedures for the Foundation Purchase Order.

COMPETITIVE BID INSTRUCTIONS

Use a CSUDH Foundation Invitation For Bid (FDN #154) and CSUDH Foundation Competitive Bid Justification Form (FDN #155)

1. Complete Invitation for Bid cover sheet (FDN #154 A):

Bid Number - number assigned by Foundation

Description - summarize the item(s) going out for bid

Bid closing - the date and time the bidding ends and bids are due in the Foundation Office.

Sealed Bid #___ Enclosed - insert the assigned bid number

Signature - the signature of the account director

Date - the date of signature, should be the same as the date the bid process is opened.

Name - typed or printed name of account director

Campus Location - campus office number of the account director

Phone # - complete campus phone number of the account director

2. Complete Key Action Dates (FDN #154 B) - sequential listing of important dates for bid consideration such as bid opening, bid closing, date item(s) to be delivered, installation date, date items to be in complete working order, etc.

3. Complete Description and Minimum Technical Requirements (FDN #154 C) - a detailed listing and explanation of the items(s) out for bid. Must include all desired features and technical requirements.

4. Complete General Specifications and Criteria (FDN #154 D) - a detailed listing and explanation of additional requirements to be included in the purchase such as installation, service, training, instruction manuals, etc.

5. Complete Administrative Requirements (FDN #154 E) - the Foundation has included two administrative requirements. List any other considerations deemed necessary for the purchase.

6. Complete inquires section of the Bid Response Form (FDN #154 F):

Name - Name of person on campus the vendor can contact with any questions. Can be account director or person designated by the account director.

Campus Location - the location on campus of the person named above

Phone # - complete campus phone number where the vendor can reach the campus contact person

7. Insert bid number at the top of all pages of the bid package (FDN #154 A through H).

8. Copy the complete bid package (FDN #154 A through H) and send to at least three vendors who sell the product described in the bid package. A copy must also be forwarded to the Foundation for informational purposes.

9. The Foundation will date all sealed bids received and forward them to the account director or designee.

10. At the close of the bidding period, the account director must review all bids received and select the most appropriate choice based on price, terms, product quality, etc.

11. Complete a Foundation Competitive Bid Justification form (FDN #155):

Bid Number - the assigned bid number

Total Number of Qualifying Bids received - number of bids received by the closing date and time

Vendor Name - the complete name of the selected vendor

Address - vendor address

Phone # - vendor phone number

Selection Justification - state the reasons the selected vendor was chosen over the other vendors. State considerations such as price, product quality, terms, existing equipment compatibility, etc, which will justify the vendor selection.

Attach list of vendors - attach a list of all vendors who were sent the bid package. Include the vendor name, address, phone #, date bid received (N/A if no bid received), and total cost quoted.

12. Attach the completed competitive bid justification form to a Foundation Purchase Order (FDN #156). The purchase order should be made to the selected vendor. The items on the purchase order must agree to the items quoted and the total cost must be the same as the total cost quoted.

13. All bid packages received must be forwarded to the Foundation. The Foundation will keep all bid material received on file for a period of at least one year or as required by individual Foundation account restrictions.

14. Follow procedures for the Foundation Purchase Order.

PURCHASE ORDER INSTRUCTIONS

Use CSUDH Foundation Purchase Order (FDN #156)

NOTE: A FOUNDATION PURCHASE ORDER NUMBER MUST BE OBTAINED BEFORE ANY ORDERS ARE PLACED FOR FOUNDATION ACCOUNTS.

1. Enter current date

2. Enter vendor information

Name - vendor name

Address - vendor mailing address (P.O. will be sent to this address).

Phone # - vendor phone number

Contact - name of vendor contact at phone number listed above.

Federal Tax ID # - for service purchase orders only, not merchandise purchase orders. Please request this number from your vendor contact for 1099 tax reporting purposes. A service P.O. would include orders to vendors such as florists, printers, photographers, and other businesses whose main function is service rather than merchandise.

Delivery Date - the date delivery is required or expected.

3. Enter the information necessary for the purchase being made:

Quantity - number of items being ordered

Unit - the basic unit of items being ordered (i.e. each, box, case, etc.)

Description/Justification - describe the items being ordered as needed for the vendor to complete the order. If the description of the item is not sufficient for the Foundation to be able to justify the purchase as beneficial to the educational mission of the CSU, a short descriptive purchase justification must be included in this section which explains what the item is and states the benefit to the University's educational mission.

Unit price - the price per basic unit

Total Price - quantity multiplied by the unit price

Sales Tax - the sales tax on all the items being purchased. The Foundation is not exempt from sales tax on purchases.

Shipping/Freight - the total shipping/freight costs associated with the transportation of all items being purchased.

Total - total cost for all items being purchased including sales tax, shipping and freight.

4. Enter additional information:

FDN Account #/Object Code - the Foundation account number to be charged for the purchase and the object code which specifies the type of expense.

Campus Contact Name/Extension - the name and campus extension of the person whom the Foundation may contact with any questions regarding this purchase order.

Receiving Dept. Deliver to - the campus location to which the CSUDH Receiving Department can deliver the items ordered. If items will not be delivered to CSUDH Receiving, enter "N/A".

5. An authorized account signer must sign the purchase order. An authorized account signer has his or her signature on file with the Foundation office showing that he or she is authorize to sign for transactions concerning their Foundation account (referenced in the additional information section).

6. Bring the completed purchase order to the Foundation Office. -The P.O. will be reviewed and account funds verified.

-An authorized Foundation employee will sign the purchase order upon approval.

-A purchase order number will then be assigned.

-The purchase must be signed by an authorized Foundation employee in addition to an authorized account signer to validate the P.O.

-The Foundation will send the completed and approved purchase order to the vendor unless otherwise instructed.

Special Instructions for Placing Telephone Orders to Vendors: To expedite the ordering process, items may be ordered by phone after a purchase order number is assigned. Steps 1 through 6 must be followed with the following variations:

-If the order will be phoned in to the vendor the following must be included at the bottom of the Description/ Justification section in capital letters "CONFIRMING ORDER - DO NOT DUPLICATE". This will prevent the vendor from shipping a double order.

-The purchase order should be brought to the Foundation and a rush purchase order number requested from accounts payable. The Foundation will accommodate the request as soon as possible.

-If a purchase order number can be assigned immediately, you will be given the goldenrod copy with the P.O. number. If the Foundation is unable to assign a number immediately, you will be given the goldenrod copy without a P.O. number. After the P.O. is approved by the Foundation and assigned a purchase order number, the Foundation will call the campus contact with the purchase order number. The P.O. number should be written on the goldenrod copy of the P.O.

-The account director (or designee) should then call in the order. The vendor must be given the P.O. number.

-The Foundation will mail the confirming order to the vendor unless otherwise requested.

Emergency Purchase Order Numbers

On rare occasions where circumstances warrant such action and with the approval of the Foundation Business Manager or Executive Director, a purchase order number may be given over the phone before the completed paperwork is received. In such cases, the completed P.O. must be delivered to the Foundation office by the next working day.

CHECK REQUEST INSTRUCTIONS

Use CSUDH Foundation Check Request (FDN #157)

1. Enter current date.

2. Enter payee information:

Name - name to which the check will be made payable

Address - payee's mailing address if the check is to be mailed, otherwise the address can be left blank. If the check is for an award, price, scholarship, honorarium,or business service payment and the mailing address is a P.O. Box, write the payee's street address to the right of the mailing address (for tax reporting purposes).

Social Security # - for payments to individual for awards, prizes, scholarships or honorariums only.

Federal Tax ID # - the business equivalent to a social security number, for payments to businesses for services only, not merchandise purchases. A service payment would include payments to professionals such as florists, printers, photographers and other service businesses whose main function is service rather than merchandise.

3. Enter expenditure information:

Payment Amount - the total amount to be paid to the payee.

Description/Justification - describe what is being paid. If the description is not sufficient for the Foundation to justify the purchase as beneficial to the educational mission of the CSU, a short justification must be included which states the benefit to the University's educational mission.

Foundation Account Number - Object Code - the Foundation account number to be charged for the expenditure and the object code which specifies the type of expense.

4. Enter additional information:

Campus Contact - the name, campus location and extension of the person whom the Foundation should contact regarding any questions or problems with the check request.

Mail/Hold for Pick-up Instructions - indicate what should be done with the check when it is ready.

5. An authorized account signer must sign the check request. An authorized account signer has his or her signature on file with the Foundation office showing that he or she is authorized to sign for transactions concerning their Foundation account (as referenced above).

6. If the payment is a reimbursement to an authorized account signer, the authorized account signer's supervisor must also approve the check request.

7. Attach original supporting documentation to check request. Original supporting documentation consists of original receipts, invoices, etc. which provide audit evidence of a valid expenditure. If an original receipt is not available, a copy must be attached to a sheet of paper with a written explanation as to why the original receipt is not available. If no receipt is available, a sheet of paper with a written explanation and description of the expenditure must be attached. For awards, prizes, and scholarships supporting information such as award notification, selection process, etc. must be attached. If it is necessary to have the original receipts returned, please attach a written request to the check request. The Foundation will then stamp the receipts "Reimbursed by CSUDH Foundation", copy them for our records, and return them.

8. Bring the completed check request to the Foundation office.

-The check request will be reviewed and account funds verified.

-An authorized Foundation employee will sign the check request upon approval.

The approved check request will be processed for payment according to the following schedule:

Paperwork received by Foundation: Checks ready for pick-up:

Noon, Thursday 4:00 p.m., Tuesday

Noon, Tuesday 4:00 p.m., Friday

STIPEND CERTIFICATION AND PAYMENT REQUEST INSTRUCTIONS

Use CSUDH Foundation Stipend Certification and Payment Request (FDN #162)

1. Enter date of request

2. Enter payee information:

Payee Name - the legal name of the payee

Address - the residential address of the payee

Social Security # - the payee's social security number

3. Enter the Foundation Account Number - Object Code. This is the Foundation account number to be charged for the expenditure and the object code which specifies the type of expense.

4. List the requirements necessary to receive payment. An additional sheet may be attached if necessary.

5. State payment information:

List the disbursement date and the corresponding amount for the stipend payment(s). If payee is to receive more than twelve disbursements, another stipend form must be completed.

6. The stipend recipient (payee) must sign the stipend recipient certification. The stipend payment may be considered taxable income by the IRS. Payee should consult a qualified tax account if they are unsure as to the tax consequences of the payments.

7. The account director must sign the account director certification.

8. Forward the completed form to the Foundation Office for processing and payment.

TRAVEL POLICY

Introduction

In accordance with the requirements of the California State University (CSU) and the Internal Revenue Service (IRS), the California State University, Dominguez Hills (CSUDH) Foundation has adopted this policy for the reimbursement of travel expenses. This policy applies to Foundation employees as well as other individuals performing travel related to Foundation/University business or projects administered by the Foundation.

Reimbursement for Travel

Reimbursement of travel expense incurred by Foundation employees or by CSUDH employees or students, or other persons participating in travel while conducting Foundation/University business shall be comparable to the reimbursement normally provided by the CSU employees may be provided in the following situation:

1. When agreements or contracts with various sponsors of research or granting agencies specify travel reimbursement at different rates.

2. When the Foundation Executive Director determines that a lesser or partial rate of reimbursement is justified (see below).

3. When the Foundation Executive Director determines that a higher level of reimbursement in individual situations is appropriate (see below).

Reimbursement at a Lesser or Partial Rate

Where project travel funds are limited or restricted from budgetary transfers and the project director has determined the objectives of research or training will be enhanced by applying a lesser or partial reimbursement to increase the number of individuals performing travel, a written request must be submitted to the Foundation Executive Director before the commencement of travel justifying the lesser or partial rate. The Foundation Executive Director will review the project travel budget and the reasonableness of the request. If it is determined that research objectives or training will be enhanced by the greater number of travel participants, a lesser or partial rate may be approved.

Reimbursement at a Higher Rate

Reimbursement at a rate higher than provided for the CSU employees may be approved by the Foundation Executive Director if the following conditions exist:

1. A written request should be submitted to the Foundation Executive Director before the commencement of travel justifying a higher rate.

2. The travel performed has exceptional potential for advancing the objectives of a project or the goals of the Foundation/University and the high reimbursement contributes to those objectives or goals.

3. The travel budget for the project has sufficient funds to provide the higher reimbursement without debilitating results to future travel.

The Foundation Executive Director will review each request on a case-by-case basis.

Travel Documentation

The documents used by the CSUDH Foundation to authorize travel, request travel advances, and receive travel reimbursements are its own internal forms, TRAVEL AUTHORIZATION FORM - ADVANCE/ REIMBURSEMENT (FDN #150) and ITEMIZED TRAVEL EXPENSE CLAIM FORM (FDN #160).

In all cases (excluding mileage only claims - see below) where reimbursement for travel will be fully or partially paid by a Foundation account, a properly executed Travel Authorization Form must be submitted to the Foundation Office before commencement of travel.

Travel Authorization for Minors

For travel paid by a Foundation account involving minors, a TRAVEL AUTHORIZATION/RELEASE OF LIABILITY FOR MINOR FORM (FDN #152) must be completed and signed by the minor's parent or guardian and submitted to the Foundation Office with the Travel Authorization Form (FDN #150).

Travel Advance

It is the policy of the Foundation to honor the request for an advance if requested by the traveler for travel involving expected total claims of $100 or more. Where the expected total claim is less than $100, an advance may be issued only where there is compelling justification. To request a travel advance, the proper sections of the Travel Authorization Form must be completed and submitted to the Foundation Office in accordance with the Foundation accounts payable cycle.

Travel Reimbursement / Clearing of Travel Advance / Certification of Expenditures

After completion of travel, the applicable sections of the travel Authorization Form, and the Itemized Travel Expense claim Form (with original receipts) must be executed and submitted to the Foundation within ten days or as soon as possible after the return of the traveler.

Current Travel Allowance Rates

All claims must be itemized for each individual expense item. Claims may be reimbursed up to the allowance with an itemized statement of expenses. Claims in excess of the allowance will only be allowed if approved by the Foundation Executive Director (refer to the section 'Reimbursement at a Higher Rate'). An original receipt is required for any item of expense in the amount of $25.00 or more. In the event of an IRS audit or for other audit verification purposes, original receipts for items less than $25.00 may be requested at the discretion of the Foundation. If a receipt is lost or otherwise not available, a certification by the traveler may be accepted that explains why the receipt is not provided. Travelers who habitually do not furnish original receipts for expense items may be denied reimbursement through a Foundation account.

CSUDH Foundation allowance for each complete 24-hour period:

Statewide Travel:

Meals per diem 
Lodging - Actual amount paid, excluding suites.

$5.00 Incidental (includes but is not limited to expenses for laundry, cleaning and pressing of clothes, and fees or tips. Does not include cab fares, telegrams, telephone calls and the like)

Out of Sate / Out of Country Travel:

Travelers will be reimbursed actual lodging expenses when supported by an original receipt. Meals shall be reimbursed based on the actual expense. Actual meal expenses in excess of the allowances listed below must be approved by the Foundation Executive Director (refer to section 'Reimbursement at a Higher Rate'). The incidental allowance will apply.

CSUDH Foundation allowance for the fractional periods of travel:

Statewide and Out of State:

Lodging (Travel extends overnight) Actual amount paid, excluding suites

Breakfast

(Travel begins before 7 a.m. or ends past 9 a.m.) $9.00

Lunch

(Travel begins before 11 a.m. or ends past 1 p.m.) $12.00

Note: For a travel period of less than 24 hours in total, travelers may not claim any lunch allowance.

Dinner

(Travel begins before 4 p.m. or ends past 6 p.m.) $20.00

Mileage

Where the claimant is authorized to operate a privately owned automobile, a rate of 34.5 cents per mile will be allowed without certification. A maximum of 30 cents per mile will be allowed with the signed certification on the Daily Mileage Driving Log. In the case of reimbursements in excess of 34.5 cents per mile, the entire mileage reimbursement must be reported as income to the Internal Revenue Service.

TRAVEL AUTHORIZATION FORM - for travel with NO advance

Claims for Mileage Only

A DAILY MILEAGE DRIVING LOG (FDN #151) must be completed for claims involving mileage only. A Travel Authorization Form (FDN #150) is not required. For travel on a regular basis, mileage only claims must be submitted monthly to ensure timely reimbursement and reporting of expenses.

MILEAGE ONLY CLAIMS

For travel involving mileage only (no other travel costs associated with the trip(s)), do not complete FDN #150. Use FDN #151, the CSUDH Foundation Daily Mileage Driving Log (see separate instructions).

Use CSUDH Foundation Travel Authorization Form - Advance/ Reimbursement Request (FDN #150)

COMPLETE AND SUBMIT TO THE FOUNDATION OFFICE AT LEAST THREE DAYS PRIOR TO DEPARTURE DATE:

1. Complete Section 1, Traveler Information:

Name - Complete name of traveler

Purpose of trip - state purpose of trip. If not obvious as to how the trip furthers the educational mission of the University, a justification statement must be included.

Destination - if more than one, list all stops

Departure Date/Time - departure from local area

Return Date/Time - return to local area

Foundation Account Number-Object Code - the Foundation account number to be charged and the object code which specifies the type of expense.

2. If traveler is a minor, CSUDH Foundation Travel Authorization/Release of Liability for Minor Form -FDN #152 (see separate instructions) must be completed and attached to FDN #150.

3. Complete Section 3, Travel Authorization/Advance Approval

Traveler's Signature - signature of traveler named above

Supervisor's Signature - if traveler is an employee of CSUDH or CSUDH Foundation, the signature of person to whom the traveler reports

Authorized Account Signer - person authorized to sign for transactions to the Foundation account. Signature on file with the Foundation

Approval of Department Chair - signature of the department chair to whom the account director reports, if applicable

Approval of Dean or VP - signature of dean or vice president who oversees the account director's University area

4. Bring completed form to Foundation at least three days prior to departure date for Foundation approval.

5. Upon approval, the Foundation will return the duplicate and triplicate copies to the account director.

6. Upon return from travel, complete the following

Itemized Travel Expense Claim Form (FDN #160) - see separate instructions

Section 4, Travel Expense Reimbursement/Travel Advance Reconciliation (use duplicate copy of FDN #150):

- Enter total expenses from Itemized Travel Expense Claim Form

- Enter "0" for advance received

- Enter balance due Traveler (circle the work "Traveler") which is the same amount as total expenses.

- Indicate if the check is to be mailed (state mailing address) or held at the Foundation for pick-up.

- Traveler must sign

- Approved account signer must sign

7. Submit to the Foundation Office the completed duplicate copy of FDN #150 with completed FDN #160 attached along with original receipts. Upon approval by the Foundation Office, a reimbursement check will be issued in accordance with the Foundation accounts payable cycle.

8. Keep the triplicate copy of FDN #150 and duplicate copy of FDN #160 for your records.

SPECIAL NOTE CONCERNING ORIGINAL RECEIPTS:

Original receipts must be attached for any expenditure in the amount of $25.00 or more

- If an original receipt is not available, a copy must be attached with a written explanation as to why the original receipt is not available.

- If no receipt is available, a sheet of paper with a written explanation and description of the expenditure must be signed by the traveler and attached.

- If it is necessary to have the original receipts returned, attach a written request. The Foundation will then stamp the receipts "Reimbursed by CSUDH Foundation", copy them for our records and return them.

TRAVEL AUTHORIZATION FORM - FOR TRAVEL WITH ADVANCE

Use CSUDH Foundation Travel Authorization Form - Advance/ Reimbursement Request (FDN #150)

COMPLETE AND SUBMIT TO FOUNDATION OFFICE IN ACCORDANCE WITH FOUNDATION ACCOUNTS PAYABLE CYCLE IN ORDER TO RECEIVE ADVANCE CHECK BY DESIRED DATE:

1. Complete Section 1, Traveler Information:

Name - Complete name of traveler

Purpose of trip - state purpose of trip. If not obvious as to how the trip furthers the educational mission of the University, a justification statement must be included.

Destination - if more than one, list all stops

Departure Date/Time - departure from local area

Return Date/Time - return to local area

Foundation Account Number-Object Code - the Foundation account number to be charged and the object code which specifies the type of expense.

2. If traveler is a minor, CSUDH Foundation Travel Authorization/Release of Liability for Minor Form -FDN #152 (see separate instructions) must be completed and attached to FDN #150.

3. Complete Section 2 to request an advance (Refer to Foundation Policy for current travel allowances):

Meals - indicate the number of meals by type and multiply by the appropriate allowance rate. Enter the totals in the "Amount Payable to Traveler" column.

Incidentals - indicate the number of complete days of travel and multiply by the incidental allowance rate. Enter the total in the "Amount Payable to Traveler" column.

Lodging - indicate the number of nights and multiply by the lodging allowance rate. Enter the total in the "Amount Payable to Traveler" column. Ff this amount is to be paid directly to the hotel, enter the amount in the "Amount Payable to Other" column and enter the information in the "Lodging" section on the form, indicating whether the check is to be mailed or held for pick-up.

Transportation - enter the amount for airfare in the "Amount payable to Traveler" column. If this amount is to be paid directly to the carrier or travel agent, enter the amount in the "Amount Payable to Other" column and enter the information in the "Transportation" section on the form, indicating whether the check is to be mailed or held for pick-up. If another type of transportation is being used instead of air travel, indicate the type. Enter the amount in the appropriate amount column. If this amount is to be made payable directly to the carrier or travel agent, enter the information in the "Transportation" section on the form, indicating whether the check is to be mailed or held for pick-up. No advances are given for mileage.

Conference Registration - enter the amount for conference registration in the "Amount Payable to Traveler" column. If this amount is to be paid directly to the conference group, enter the amount in the "Amount Payable to Other" column and enter the information in the "Conference Registration" section on the form, indicating whether the check is to be mailed or held for pick-up.

Miscellaneous - specify any miscellaneous costs and enter the amount in the "Amount Payable to Traveler" column. If the miscellaneous cost is to be made payable to a vendor, enter the amount in the "Amount Payable to Other" column and list the payee information on the back of the form, stating whether the check is to be mailed or held for pick-up.

Total Advance Requested Payable for Traveler - add the advance amounts entered in each column and enter the totals for each on this line.

Indicate - check whether the advance check payable to the traveler is to be mailed (state address) or held for pick-up.

4. Complete Section 3, Travel Authorization/Advance Approval

Traveler's Signature - signature of traveler named above

Supervisor's Signature - if traveler is an employee of CSUDH or CSUDH Foundation, the signature of person to whom the traveler reports.

Authorized Account Signer - person authorized to sign for transactions to the Foundation account. Signature on file with the Foundation.

Approval of Department Chair - signature of the department chair to whom the account director reports, if applicable.

Approval of Dean or VP - signature of dean or vice president who oversees the account director's University area.

5. Bring complete form to the Foundation Office for approval in accordance with the following schedule to receive advance check(s) when desired (incomplete or incorrect paperwork may delay processing):

Paperwork received by Foundation: Checks ready for pick-up:

Noon, Thursday 4:00 p.m., Tuesday

Noon, Tuesday 4:00 p.m., Friday

6. Upon approval, the Foundation will issue the check and return the duplicate and triplicate copies of Fdn #150 to the account director.

7. Upon return from travel, complete the following:

Itemized Travel Expense Claim Form (FDN #160) - see separate instructions.

Section 4, Travel Expense Reimbursement/Travel Advance Reconciliation (use duplicate copy of FDN #150):

- Enter total expenses from Itemized Travel Expense Claim Form

- Enter the total advance requested from the "Total Advance Requested for Traveler line in Section 2 (the total of both the "Amount Payable to Traveler" column and the "Amount Payable to Other" column.

- Subtract the total advance requested from total expenses and enter the result on the "Balance Due" line.

- If the result is a positive number, a balance is due the traveler. Circle "Traveler" on the "Balance Due" line. Indicate if the check is to be mailed (state address) or held for pick-up.

-If the result is a negative number, a balance is due the Foundation from the traveler.Circle "Foundation" on the "Balance Due" line.

- If the result is zero, the advance was equal to expenses and no balance is due.

- Traveler must sign

- Approved account signer must sign

8. Submit to the Foundation Office the completed duplicate copy of FDN #150 with completed FDN #160 attached along with original receipts.

- If a balance is due the traveler, a reimbursement check will be issued to the traveler upon approval in accordance with the Foundation accounts payable cycle.

- If a balance is due the Foundation from the traveler, attach cash or check (made payable to CSUDH Foundation).

- If no balance is due, the Foundation will clear the advance.

9. Keep the triplicate copy of FDN #150 and duplicate copy of FDN #160 for your records.

SPECIAL NOTE CONCERNING ORIGINAL RECEIPTS:

Original receipts must be attached for any expenditure in the amount of $25.00 or more.

- If an original receipt is not available, a copy must be attached with a written explanation as to why the original receipt is not available.

- If no receipt is available, a sheet of paper with a written explanation and description of the expenditure must be signed by the traveler and attached.

- If it is necessary to have the original receipts returned, attach a written request. The Foundation will then stamp the receipts "Reimbursed by CSUDH Foundation", copy them for our records, and return them.

ITEMIZED TRAVEL EXPENSE CLAIM INSTRUCTIONS

Use CSUDH Foundation Itemized Travel Expense Claim (FDN #160)

1. Enter traveler's complete name.

2. Enter the Foundation account number to be charged and the object code which specifies the type of expense.

3. Enter dates of travel (month/day/year). If necessary, use additional forms.

4. List ACTUAL expenses for each day for each category of expense (i.e. Breakfast, Lunch, Dinner, Incidentals, Lodging, etc.) Refer to Foundation Travel Policy for current travel allowances.

5. Attach ORIGINAL receipts.

6. If mileage is being claimed in addition to other travel expenses, state the rate per mile, departure and destination locations, and the number of miles in addition to the mileage claim amount. If there is more than one mileage claim per day, state information and amount in 'Other' section.

7. Total all expenses for all days. Enter the grand total in Section 4 of duplicate copy FDN #150 (Travel Authorization Form - Advance/Reimbursement Request - see separate instructions).

8. Attach Itemized Travel Expense Claim Form with original receipts (and mileage log if applicable) to duplicate copy of FDN #150.

DAILY MILEAGE DRIVING LOG INSTRUCTIONS

Use CSUDH Daily Mileage Driving Log (FDN #51)

FOR MILEAGE ONLY CLAIMS (NO OTHER TRAVEL COSTS ASSOCIATED WITH TRIP(S)):

1. Complete Section 1:

Traveler's Name - traveler's complete name

Foundation Account Number - Object Code - the Foundation account number to be charged and the object code which specifies the type of expense.

Date - the month/day/year of travel. List each day and trips for different purposes separately.

Travel From / to - describe departure and destination locations. Include business names and city/state information such as "From CSUDH, Carson/Ca - to Rockwell, Downey/CA". The departure or destination location must not be the traveler's place of residence, unless approved by the Foundation Executive Director.

Purpose of Trip - state purpose of trip. If not obvious as to how the trip furthers the educational mission of the University, a justification statement must be included.

# of Miles - total travel miles from departure location to destination.

Rate/mile - the rate per mile being claimed. The normal claim is 34.5 cents per mile. The maximum allowed is 34.5 cents per mile. If claiming more than 34.5 cents per mile, Section 2 must be completed and the total mileage reimbursement will be reported to the IRS as income.

Total - multiply the number of miles times the rate per mile and enter the result.

Total Mileage Claim Amount - add all trip totals listed.

2. Complete Section 2:

Indicate - check if the check is to be mailed (state address) or held for pick-up.

Traveler's Signature - signature of traveler named above

Supervisor's Signature - if traveler is an employee of CSUDH or CSUDH Foundation, the signature of the person to whom the traveler reports.

Authorized Account Signer - person authorized to sign for transactions to the Foundation account. Signature on file with the Foundation.

Approval of Department Chair - signature of the department chair to whom the account director reports, if applicable.

Approval of Dean or VP - signature of dean or vice president who oversees the account director's University area.

3. Complete Section 3 only if the rate per mile claimed is greater than $.26 per mile. The traveler must sign that the actual cost of operating their vehicle is equal to or greater than the rate claimed. If a rate more than $.26 per mile is claimed, the total mileage claim amount will be reported to the IRS as income.

4. Submit the completed form to the Foundation office. Upon approval by the Foundation Office, a reimbursement check will be issued in accordance with the Foundation accounts payable cycle.

TRAVEL AUTHORIZATION FOR MINOR INSTRUCTIONS

Use CSUDH Foundation Travel Authorization / Release of Liability for Minor Form (FDN #152)

1. Type or print legibly the following information:

Name of Minor - complete name of minor traveler

Name of Parent or Guardian - name of minor's legal parent or guardian

Beginning Date of Trip - the date and time of departure

Ending Date of Trip - the date and time of return

Destination - theculty/staff member may be reached.

Please return this form by (Date) - the date the signed and dated authorization/release form must be returned to the faculty/staff member.

2. The Foundation must have this completed, signed and dated form along with a completed FDN #150 (see separate instructions) at least three days prior to travel for travel authorization.

3. Triplicate copy to parent or guardian, duplicate to account director.

INDEPENDENT CONTRACTOR OVERVIEW

The following is taken from a letter written by John Francis, Attorney at Law, concerning the differentiation between employee and independent contractor or consultant status. It should be noted that in addition to weighing the following factors when determining independent contractor status, Foundation policy requires that anyone who is providing services for the Foundation and who is also an employee of CSUDH or any entity related to CSUDH must be paid as an employee of the Foundation.

Mr. Francis begins his letter with an excerpt from a November 21, 1977 Report to the Joint committee on Taxation by the Controller General entitled, "Tax Treatment of Employees and Self-Employed Persons by the Internal Revenue Service: Problems and Solutions."

Why do IRS, employers, accountants, lawyers, and other advisors have difficulty determining whether a person is an employee or is self-employed? One reason is that the application of the common law rules to specific employee/self-employed situations is open to broad and inconsistent interpretation. For example, not all of these rules are always present in every employment situation. Further, the rules vary as to applicability and importance in different situations. Evaluating the weight to be given various rules is often a subjective matter, even though IRS and employers make a strong and comprehensive effort to develop all relevant facts. As a result, many employers cannot, with any degree of certainty, determine who will be considered an employee until after IRS has audited the situation.

Over the years the Internal Revenue Service has articulated what it characterizes as the twenty "common Law" factors in differentiation employees from independent contractors. Recently, the Service provided a reformulation of these factors in Revenue Ruling 87-41. Here are the questions these factors (or rules) are directed at and the analysis related to each:

Instructions: Is the person providing services required to comply with instructions about when, where, and how the work is to be done?

A worker who is required to comply with other persons' instructions about when, where, and how he or she is to work is ordinarily an employee. This control factor is present if the person or persons for whom the services are performed have the right to require compliance with instructions. See, for example, Rev. Rul. 68-598, 1968-2 C.B. 464, and Rev. Rul. 66-381, 1966-2.

Training: Is the person provided training to enable him to perform a job in a particular method or manner? Training a worker by requiring an experienced employee to work with the worker, by corresponding with the worker, by requiring the worker to attend meetings, or by using other methods, indicates that the person or persons for whom the services are performed want the services performed in a particular method or manner. See Rev. Rul. 70-630, 1970-2 C.C. 229.

Integration: Are the services provided integrated into the business' operation?

Integration of the worker's services into the business operations generally shows that the worker is subject to direction and control. When the success or continuation of a business depends to an appreciable degree upon the performance of certain services, the workers who perform those services must necessarily be subject to a certain amount of control by the owner of the business. See United States v. Silk, 331 U.S. 704 (1947-2 C.B. 167.

Services Rendered: Must the services be rendered personally?

If the services must be rendered personally, presumably the person or persons for whom the services are performed are interested in the methods used to accomplish the work as well as in the results. See Rev. Rul. 55-695, 1955-2 C.B. 410.

Hiring, Supervising, and Paying Assistants: Does the business hire, supervise, or pay assistants to help the person performing services under contract?

If the person or persons for whom the services are performed hire, supervise, and pay assistants, that factor generally shows control over the workers on the job. However, if one worker hires, supervises, and pays the other the other assistants pursuant to a contract under which the worker is responsible only for the attainment of a result, this factor indicates an independent contractor status. Compare Rev. Rul. 63-115, 1963-1 C.B. 178, with Rev. Rul. 55-593, 1955-2 C.B. 610.

Continuing Relationship: Is the relationship between the individual and the person he performs services for a continuing relationship?

A continuing relationship between the worker and the person or persons for whom the services are performed indicates that an employer-employee relationship exists. A continuing relationship may exist where work is performed at frequently recurring although irregular intervals. See United State v. Silk.

 

INDEPENDENT CONTRACTOR POLICY

Introduction

Federal and State tax laws require the reporting of payments to individuals for services as taxable income. Depending upon the circumstances, the individual may be considered an employee or an independent contractor. If the individual is considered an employee, the employer is liable for certain taxes and benefits, such as FICA and Workers Compensation, in addition to the compensation amount. Therefore, it is critical that a justifiable determination be made as to the status of the individual before payment is made.

Determination of Independent Contractor Status

The Foundation Executive Director is responsible for determining whether an individual should be classified as an employee or independent contractor based on the information supplied on the payment request forms. The Executive Director shall consider all factors in the determination in order to give an unbiased and justifiable opinion as to the status of the individual.

Payments to individuals for services equal or greater than $50 per calendar quarter

If the total payment is equal to or greater than $50 per calendar quarter, a Foundation Independent Contractor Agreement and Justification Form (FDN #161) must be submitted to the Foundation in accordance with Foundation procedure prior to the performance of the service. After review of the form, the Foundation may determine that the individual must be paid through the Foundation payroll system. If independent contractor status is justified, payment(s) will be made after performance of the services upon receipt of an invoice from the contractor, submitted in accordance with Foundation procedure. The invoice must be signed by the contractor.

Payments to individuals who are employed by CSU Dominguez Hills, CSUDH Foundation or any entity related to CSU Dominguez Hills, either at the time the services are to be performed or at the time payment is to be made by the Foundation, must be paid through Foundation payroll.

Payments to individuals for services less than $50 per calendar quarter.

If the total payment is less than $50 per calendar quarter, a Foundation Payment to Individuals Short Form (FDN #159) must be submitted and approved in accordance with Foundation procedure after the performance of the service.

Payments to individuals who are employed by CSU Dominguez Hills, CSUDH Foundation or any entity related to CSU Dominguez Hills either at the time the services are to be performed or at the time payment is to be made by the Foundation, must be paid through Foundation payroll.

Advance payment to individuals for services.

Advance payment to individuals for services is not allowable except in extreme cases and upon the approval of the Foundation Executive Director. Payment to individuals for services will be made only after the performance of the service. A reasonable down payment or retainer fee can be requested with appropriate documentation.

HONORARIUMS

Honorariums are defined as payment for services on which no set fee has been established, usually a one time payment to speakers in appreciation for their presentation. Requests for payments of honorariums must be submitted on a Foundation Check Request (FDN #157) and must state the payee's address and social security number.

Honorarium payments to individuals who are employed by CSU Dominguez Hills CSUDH Foundation or any entity related to CSU Dominguez Hills, either at the time the services are to be performed or at the time payment is to be made by the Foundation, must be paid through Foundation payroll.

INDEPENDENT CONTRACTOR JUSTIFICATION AND AGREEMENT INSTRUCTIONS

Use CSUDH Foundation Independent Contractor Justification and Agreement (FDN #161)

THIS FORM MUST BE COMPLETED AND APPROVED BEFORE PERFORMANCE OF THE CONTRACT MAY BEGIN.

1. Complete Section 1, Justification:

For each of the fourteen statements, check "yes" if the statement is correct concerning the independent contractor, "no" if the statement is not correct. If the response to statement #1 is "no", do not complete the rest of the form - the individual must be paid as an employee not an independent contractor. If the response to statement #1 is "yes", continue responding to all other statements since all other responses work together to justify independent contractor status. For statement #2, if the response is "yes", the dates of service must also be listed.

2. Complete Section 2, Identity of Independent Contractor:

Name - The complete legal name of the contractor. If the contractor has a business card (or business stationery) attach for business verification purposes.

Indicate entity type - check whether the contractor works as a sole proprietorship, a partnership, or a corporation.

Business Address - the complete work address of the contractor

Home Address - the complete residential address of the contractor

Business Phone # / Fax # - the contractor's work phone and fax numbers

Home Phone # - the contractor's residential phone number

Employer ID # or Social Security # - the nine digit number which identifies the contractor either as a business or an individual

Business License # / City / Expiration Date - if the contractor has his/her own business, the license/ certificate number, the city in which the license was issued, and the expiration date of the license.

List the last three clients for whom the independent contractor has provided services - the name, address, and dates of performance of the contractors last three clients

3. Complete Section 3, Work to be Performed:

State a complete description of work to be performed, including deadlines and expected results. A separate sheet may be attached if necessary.

4. Complete Section 4, Terms of Payment:

State the terms and conditions of payment. The contractor must submit invoices after the performance of the service which correspond to the terms of payment in order to receive payment.

Attach Foundation Purchase Order (FDN #156 - a purchase order must be completed for the contractor to receive payment under the terms of the agreement.

Fdn Acct # - Object Code - the Foundation account number to be charged and the object code which specifies the type of expense.

5. Complete Section 5, Dates of Service:

State the complete term of the agreement (beginning and ending dates).

6. Complete Section 6, Terms of Agreement:

Contractor's Signature - signature of the independent contractor who will be performing the service and receiving payment

Account Director's Signature - signature of the person designated as the primary signer on the Foundation account

Dean/VP Approval - signature of the dean or vice president who oversees the account director's University area.

7. Forward the completed form to the Foundation along with a completed Foundation purchase order. All information will be reviewed by the Foundation Executive Director to assess whether or not the individual may be paid as an independent contractor. If payment is approved, the Executive Director will sign the agreement and performance of the contract may begin. If the Executive Director determines that the Foundation cannot classify the payee as an independent contractor, the individual must be paid through the Foundation payroll system in which case appropriate payroll forms must be completed.

SHORT FORM PERSONAL SERVICES AGREEMENT INSTRUCTIONS

Use CSUDH Foundation Short Form Personal Services Agreement (FDN #159)

THIS FORM IS TO BE USED ONLY WHEN THE FOLLOWING TWO CONDITIONS EXIST:

A. The work relationship is not ongoing or continuous, but irregular and infrequent, usually not more than once in a three month period;

and

B. The total compensation or honorarium is less than $50 per calendar quarter (Quarter periods: Jan-Mar, Apr-June, July-Sept, Oct-Dec).

1. Complete Section 1:

Date of Agreement - the date the agreement form is completed

Fdn Acct # - Obj Code - the Foundation account number to be charged and the object code which specifies the type of expense

Name - the complete legal name of the payee

Address - the complete residential address of the payee

Social Security Number - the payee's none digit identification number

Service to be Rendered - state a complete description of the service to be performed, including deadlines and expected results. A separate sheet may be attached if necessary.

Service to be Rendered - state a complete description of the service to be performed, including deadlines and expected results. A separate sheet may be attached if necessary.

Date(s) of Service - the date the service will be performed or the beginning and ending dates of the performance period.

Compensation / Honorarium Amount - the amount the contractor will be paid for performance of the service

2. Complete Section 2:

Signature of Worker - the payee must sign before performance of the service.

3. Complete Section 3:

Authorized Account Signer - signature of person authorized to sign for transactions to the Foundation account. Signature on file with the Foundation.

Dean or VP - signature of the dean or vice president who oversees the account director's University area.

4. Complete Section 4:

Name / Campus Location / Campus Extension - the campus contact for any questions regarding the payment request

indicate -check and complete what the Foundation is to do when the check is ready.

5. Forward the completed form to the Foundation for approval and payment. Payment will be made after the completion of services.


Updated:  08/29/2001