OSPS Check Distribution

Thank you for taking the time to fill out this information. The current change is affecting only the noon run; the manual checks and the daily vendor checks. The payroll checks and vendor checks that accompany payroll will transition to P&D at a later time. If you have any questions, please feel free to contact the P&D Coordinator/Customer Service Team. Carrie Bull - (971) 345.1005 - carrie.bull@oregon.gov Candace Erickson - (971) 345.1007 - candace.erickson@oregon.gov CSR Team email - pnd.orderinfo@oregon.gov

Contact Name*

What is your name?

Contact Phone

What is the primary phone number to reach you?

Agency Number*

What is your agency number?

Delivery Option*

How would you like to recieve your agency's checks?

~~select your option~~

Authorized Signers

P&D requires at least 2 authorized signers for checks. These are people who can request check pulls, have checks sent to them via shuttle, and can sign for checks during a pick-up at P&D. P&D will not surrender any checks to names that are not on this list.

Authorized Signer #1*

Please provide the name of your first authorized signer.

Authorized Signer #2*

Please provide the name of a second authorized signer.

Additonal Signers?

Would you like to add any additional signers?

Select

Authorized Signer #3

Please provide the name of a third authorized signer.

Authorized Signer #4

Please provide the name of a fourth authorized signer.

Authorized Signer #5

Please provide the name of a fifth authorized signer.

Confirmation

Manager Confirmation*

Please confirm if you are a manager within your agency.

~~select here~~

Job Title*

Please confirm your job title.

Send me a copy of my responses

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