Student Organization/House/Entry Form

PAYMENT/REIMBURSEMENT AUTHORIZATION FORM
STUDENT ORGANIZATIONS - HOUSES - ENTRIES

All Student Organization vouchers should be submitted to the Campus Activities Office (MCC for the Minco groups).
All House and Entry vouchers should be submitted to the responsible CLC.
Payments to Williams College students and employees for services rendered should go through payroll, unless the payee is classified with the Campus Activities Office as an independent contractor.
No funds can be released without original invoices or receipts (taped to 8 1/2 x 11 paper). This request is subject to approval of CC, Minco, a CLC, the MCC or the Campus Activities Office in accordance with standing regulations governing the use of college and student allocated funds.
Complete all fields. Only complete invoice fields if paying an invoice.

Vendor Legal Name:

Social Security Number or Tax ID Number:

Address:

Vendor Classification: Wms Employee
Wms Student
Other

Payment Method: Check
Direct Deposit

Special Handling: Enclosure
Pickup (Emergencies Only)

Account

Fund

Dept ID

Invoice/Today's Date

Amount

Invoice Number: (only if paying an invoice)

Item Description:

Account

Fund

Dept ID

Invoice/Today's Date

Amount

Invoice Number: (only if paying an invoice)

Item Description:

Account

Fund

Dept ID

Invoice/Today's Date

Amount

Invoice Number: (only if paying an invoice)

Item Description:

Student Organization/House/Entry (requesting funds):_________________________

Finance Officer's signature:_____________________________________

E-mail address:_______________ - SU Box:_____________ - Phone:______________

***Office Use Only***

CC, Minco, HC, JA - Authorization:_____________________ Date:____________

Campus Activites Office, CLC, MCC - Authorization:__________________ Date:_____________