Purchase Order Payment Approval

Submission of this form provides approval to proceed with payment against a Purchase Order (also known as "Ok to Pay").

This form is to make payments against a PO submitted as a STANDARD Requisition where the department is working with Purchasing. This form is NOT needed for Payment Requisitions.

Preparer Information
Enter your name, department, email, and phone extension.

Preparer Name*

Preparer Department*

Preparer Email*

Preparer Phone Extension*

Requisition Information

Vendor Name*

Check box if this is a foreign vendor

PO Number*

Line Number(s) on PO

Invoice Amount (or Amount to be Paid)*

Request Details (Optional)
If we are contractually obligated to send funds via wire, please comment in the request detail.

Check the box if this transaction needs to be processed BEFORE month end. [Note: Submission must received by month end deadlines.]

This request has been approved by all required parties.*

Attach Invoice*
Quotes and/or Statements are not acceptable substitutes.

Payments for Subawards or Subrecipients must include PI and OSP approval signatures with stamped attestation on invoice.

Who else should be notified regarding this request? (Optional)
Enter their email address below.