Home

This Payment Submission Form requires the following sections to be completed:
1. Contract Unique Case ID;
2. Check Contract Information and Budget;
3. Request payment by budget categories;
4. Attach supporting documentation;
5. Provide payment request notes and certify submission.

This application does not save partially completed submissions. Please complete a draft in Word and paste answers into the application when you are ready to submit.

Supporting documents to help you complete the application are located at:

Step 1- Contract Unique Case ID
Step 2- Payment Request Amounts
Step 3- Payment Request Documentation
Step 4- Payment Request Notes and Certification

Unique Case ID

Enter the exact unique case id for the contract the payment will be charged against. The Unique Case ID is a Power Apps generated number that should look something like this: Contract_1_ab2c123ab