Check Request Form

PLEASE NOTE: If you are submitting multiple invoices or receipts, the amount field should contain the total of all of them.

Date

Amount (total of all invoices or receipts in this check request)(Required)

Pay to(Required)

This will be the recipient of the payment (the vendor if this is an invoice or the individual person being reimbursed).

Is this a person or vendor we have paid before?

Address of Payee/Recipient - DO NOT USE YOUR OWN ADDRESS OR THE ADDRESS OF THE SCHOOL(Required)

Street Address City State ZIP Code

Phone Number of Recipient(Required)

Email Address of Recipient(Required)

MPHS Team or Mustang Club Committee(Required)

Other(Required)

Description or Purpose(Required)

Name of Person Completing Check Request Form(Required)

Phone Number of Person Completing Form

Email Address of Person Completing Form(Required)

Is this check for a stipend, or a payment to a person for services provided?(Required)

How do you want this check to be sent?(Required)

Direct Deposit (Mustang Club will set this up directly with the recipient)

Physical Check (select only if this person or vendor is NOT willing to accept direct deposit)

If urgent need, please indicate why and where to deliver:

Proper documentation must be uploaded (invoice, receipt, quote, etc.)(Required)

Drop files here or

Max. file size: 300 MB.

Notes