Payment Request Form

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FOR ALLIANE PARTNER USE ONLY

Use this form for out-of-pocket reimbursement, vendor payment, contract labor payment, mileage reimbursement

 

For direct deposit payments or reimbursements, you must have a Direct Deposit Authorization form on file for the payee.  Click here to complete the form.

 

Reminders:

• We do not reimburse sales tax.
• Receipts/Invoices must be uploaded for reimbursements and vendor payments.
• Account codes must be provided.

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