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Forms for Disbursements

Summary: Find forms below for direct deposit; human subjects; payment request; petty cash; Scrip; signature authorization; and checks, drafts, and wires.

Please read the full Personal Notification Statement before completing the forms listed below. It explains why the information requested must be provided. Unfortunately, if the material you provide isn't correct or complete, the requested action may not be processed.

About the forms: All forms have been created with Microsoft Office 97 Excel (version 7.0). Just click the form name to open it. Forms listed on the left open in Excel; forms on the right open in Adobe Acrobat, which requires installation of Acrobat Reader on your workstation. After the form is open, choose one of the following options:

Print the form, then complete and submit it to Disbursements.
Click File, then Save As at the top of your Internet browser window and select the location where you'll store the file.

Excel forms are editable, but Adobe Acrobat forms that are opened using Acrobat Reader are not. If you need assistance with any of the forms, contact Ellen Sanders, (858) 534-0993.


M/S Excel		Adobe Acrobat
Direct Deposit Forms
Non-UC employees		Non-UC employees
UC Employees		UC Employees
Vendors		Vendors
Human Subjects
Certification of Cash Payment or Gift Cert. to Human subjects		Certification of Cash Payment or Gift Cert. to Human Subjects
Payment Request Forms (non Payroll)
Payment Adjustment Request		Payment Adjustment Request
Payment Request		Payment Request
Petty Cash
Request for Petty Cash Reimbursement		Request for Petty Cash Reimbursement
Petty Cash Fund Reimbursement Schedule		Petty Cash Fund Reimbursement Schedule
Scrip Program
Certificate of Payment		Certificate of Payment
Scrip Issue Log		Scrip Issue Log
Scrip Order Form		Scrip Order Form
Trial Completion Summary		Trial Completion Summary
Signature Authorization
Signature Authorization or Cancellation		Signature Authorization or Cancellation
Checks, Drafts, and Wires
Affidavit of Forged Endorsement		Affidavit of Forged Endorsement
Wire Transfer Request		N/A
Draft in Foreign Currency		N/A