Check Request Form

Authorized individuals will use this form to request that a check be sent to an individual or organization to pay for purchases such as advertising posters, purchases of supplies or software, a grant or contribution to that organization, an award to a Regional High School Teacher Award winner, other individuals receiving an award (cash prize), or other items.

All payments to US addresses will be sent by check from Chase Bank. Please be aware of the check as it may look like advertising mail.

lease allow 2 weeks for checks to be processed.

Please email any questions to finance@divched.org.

Requestor Information

First

Last

Payee Information

Name

Company

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Total Amount Requested

Which Organization is this expense for?

Division Expenses

For Division expenses only, select the appropriate committee, meeting, or organization to charge the expense to:

Additional Information

Add additional information such as meeting season and/or year, symposium title and meeting, etc.

Please choose the reason(s) for the expense

Additional Comments

Please upload a copy of the receipts (for expenses) or invoice (for anything else) here if applicable

Unlimited number of files can be uploaded to this field.
256 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Payment Information

All payments to US addresses will be sent by check from Chase Bank. Please be aware of the check as it may look like advertising mail. Please note: Checks take 2-4 weeks to process.

Need a payment sent outside of the US?

Foreign payments will be made by a person-to-person payment system to your email address. Please verify the email address to send the payment to below: