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Click the icon for Payment Service Request.
Complete the fields:
Supplier Name
Invoice Date: the date you submit this form.
Supplier Address
Department Contact
Invoice Number: 0463 plus the last date the services were received.
Description of Goods and Services Provided: If applicable, enter the Purchase Order number.
Funding String to Charge
Obtain signatures from the strategic business advisor in your unit. (Electronic signatures are allowed.)
If the form references a Purchase Order, send the form to pcpsas@mail.wvu.edu.
If this form is being submitted with a confirming order or direct pay, attach this form to the requisition.
View the instructions on attaching a form to a requisition.
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