Consolidated Check Request Form

Use the form below to submit check requests. You can upload receipts, invoices, employment papers, etc., from the form. Use the Receipt Upload for all uploads except employment forms. Employment Forms have a separate upload filed below the receipt field.

Once you have completed this form, please e-mail John Pietrowski at  to confirm the submission.


Administration Consolidated Check Request

Consolidated Check Request
  • Please fill out all of the fields below. You can expand the number of request rows by clicking on the symbol to the right of the last visible row. Do not mix projects. Use a separate form for each project. Account numbers are not required, but are appreciated. If you don't know the account number, fill in the job description or receipt description (e.g., "Actor" or "Refreshments"). You may upload receipts and employment papers at the end of the form.
  • Date Format: MM slash DD slash YYYY
  • Fiscal Year in which this should be billed. Last two number only.
  • The Name Field will be used to write the check. Make sure it is correct. If you are submitting for a person and have a W-9, I-9 and/or W-4, you may upload it with this request (see below).
    NameAccountContract # (if applicable)AmountNotesCheck #Date PaidNet Amount 
  • Short description. This will appear on pdf file.
  • If there are receipts or invoices associated with this check request, you may upload them here. Multiple files may be uploaded. Please identify the file with the Project Name, Date, last name of person making check request, and a unique receipt name (e.g., Soundings 12-24-16 Smith Shop-Rite). Do not upload employment forms here, use the upload field below.
    Drop files here or
    Accepted file types: pdf, doc, docx, rtf, xls, xlsx, gif.
  • Use this upload if you are sending employment forms. Please put the last name then first of the person on the form and the form ID on the file (e.g., Smith, Jane W-9)
    Drop files here or
    Accepted file types: pdf, doc, docx, rtf, xls, xlsx, gif.