Check Deposit Form

Use this form to provide details for one specific check.

Your name *

Email address *

Transaction Date *

Date invoice was issued.

Department *

Check # *

Check Amount *

Payor *

Line Item 1

Use Line Item (1-3) to separate amounts to be disbursed into a specific account and/or project.

G/L Account #

If unsure, leave blank.

G/L Description *

What is this check for?

Project

If a project was set up for these funds, please add it here. If no project, leave blank.

Amount *

Enter dollar amount.

Was this billed?

Yes

Use Line Item (1-3) to separate amounts to be disbursed into a specific account and/or project.

G/L Account #

If unsure, leave blank.

G/L Description

What is this check for?

Project

If a project was set up for these funds, please add it here. If no project, leave blank.

Amount

Enter dollar amount.

Was this billed?

Yes

Use Line Item (1-3) to separate amounts to be disbursed into a specific account and/or project.

G/L Account #

If unsure, leave blank.

G/L Description

What is this check for?

Project

If a project was set up for these funds, please add it here. If no project, leave blank.

Amount

Enter dollar amount.

Was this billed?

Yes

Include any additional notes with this deposit.