Payment Services Request

Complete this form to process a payment to a vendor who has not submitted an invoice.

Resources

• View a detailed PDF.

• View the website for Procurement, Contracting & Payment Services

• If you have questions, email pcpsap@mail.wvu.edu

Open

How to complete the Payment Services Request form

In the lower right corner of the Mountaineer Marketplace landing page, click the icon for Pay an Invoice or Transfer Funds.

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

   8. Amount

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 pcpsap@mail.wvu.edu.

5. 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.