This form is used if an additional or installment payment needs to be processed. If you know the vendor will not invoice Accounts Payable you should use this form. Please fill out two weeks before payment is due.
If there is more that one payment required, please complete this form for each payment.
Please note if the check is to be sent to an address other than what is noted on the purchase order or if there is any other special handling required.
Accounts Payable Department
21 N. Park St., Suite 5301
Madison, WI 53715