AAS Check Request Form All direct payment requests (invoices/contracts) require a vendor W9.Note: This is for AAS club budget & discretionary funding reimbursement checks, NOT Student Activities/CAB reimbursement checks. To complete that form, go here. Name of Organization: Semester: Requestor Name: AC Box & ID Number: Email: Class Year First Year Sophomore Junior Senior Line Item: Indicate the line item number. For discretionary fund check requests, please make sure to also include the week (ex: week 11, 8a). Make Check Payable to: Fund Source Club Budget Discretionary Fund Master General Check memo reference: Invoice number, payment reference Budget Line Description: Send Check To: Name: Address or Campus Box: City, State, Zip: Payment Amount: Supporting Documents: Upload a single PDF that contains scan of appropriate receipts, vendor invoices, and contracts for these items.Files must be less than 750 MB.Allowed types: gif jpg jpeg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 mp4 ogg wav bz2 dmg gz jar rar sit svg tar zip. Vendor W9: Please attach vendor W9 if request is for direct payment (e.g. invoice or contract) rather than personal reimbursement.Files must be less than 750 MB.Allowed types: gif jpg jpeg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 mp4 ogg wav bz2 dmg gz jar rar sit svg tar zip. Itemization of RequestsPlease fill out as needed: Item 1 Semester: Line Item: Indicate the line item number. For discretionary fund check requests, please make sure to also include the week (ex: week 11, 8a). Fund Source Club Budget Discretionary Fund Master General Budget Line Description: Payment Amount: Item 2 Semester: Line Item: Indicate the line item number. For discretionary fund check requests, please make sure to also include the week (ex: week 11, 8a). Fund Source Club Budget Discretionary Fund Master General Budget Line Description: Payment Amount: Item 3 Semester: Line Item: Indicate the line item number. For discretionary fund check requests, please make sure to also include the week (ex: week 11, 8a). Fund Source Club Budget Discretionary Fund Master General Budget Line Description: Payment Amount: Item 4 Semester: Line Item: Indicate the line item number. For discretionary fund check requests, please make sure to also include the week (ex: week 11, 8a). Fund Source Club Budget Discretionary Fund Master General Budget Line Description: Payment Amount: Item 5 Semester: Line Item: Indicate the line item number. For discretionary fund check requests, please make sure to also include the week (ex: week 11, 8a). Fund Source Club Budget Discretionary Fund Master General Budget Line Description: Payment Amount: Item 6 Semester: Line Item: Indicate the line item number. For discretionary fund check requests, please make sure to also include the week (ex: week 11, 8a). Fund Source Club Budget Discretionary Fund Master General Budget Line Description: Payment Amount: Item 7 Semester: Line Item: Indicate the line item number. For discretionary fund check requests, please make sure to also include the week (ex: week 11, 8a). Fund Source Club Budget Discretionary Fund Master General Budget Line Description: Payment Amount: Item 8 Semester: Line Item: Indicate the line item number. For discretionary fund check requests, please make sure to also include the week (ex: week 11, 8a). Fund Source Club Budget Discretionary Fund Master General Budget Line Description: Payment Amount: Play validation audio Enable Javascript for audio controls Refresh validation image What text is in the image?: Enter the characters shown in the image or use the speaker icon to get an audio version.