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  1. Click the icon for Payment Service Request.

  2. Complete the fields:

    1. Supplier Name

    2. Invoice Date: the date you submit this form.

    3. Supplier Address

    4. Department Contact

    5. Invoice Number: 0463 plus the last date the services were received.

    6. Description of Goods and Services Provided: If applicable, enter the Purchase Order number.

    7. Funding String to Charge

  3. Obtain signatures from the strategic business advisor in your unit. (Electronic signatures are allowed.)

  4. If the form references a Purchase Order, send the form to pcpsas@mail.wvu.edu.

  5. If this form is being submitted with a confirming order or direct pay, attach this form to the requisition. 

    1. View the instructions on attaching a form to a requisition.

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