Invoice Request Form

For questions regarding this form, please contact Justin Schaffer, 541-737-1922, justin.schaffer@oregonstate.edu.

Items marked with (*) are mandatory.

Invoice Requested by *

Email Address *

Used to send a copy of the invoice submission.

Phone number *

Index to Credit *

Activity code

Are there attachments to be included with the invoice?

Yes

If you do have attachments, please either upload them, email them, or send in campus mail to Justin Schaffer, 278 Peavy Hall, justin.schaffer@oregonstate.edu.

Attachments

Upload your attachment (maximum size 800KB). If there is more than one, you'll need to zip them first, or send them via email, or campus mail to Justin Schaffer, 278 Peavy Hall, justin.schaffer@oregonstate.edu.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx ppt pptx xls xlsx.

Invoice To *

Company or individual who will be paying the invoice

Attn

Optional, Complete only if different from Invoice To

Address 1 *

Address 2

City

State *

Zip *

Enter the description of what you are billing for

Is this a reimbursement of an OSU paid expense?

Yes

If all or part of the invoice amount is to reimburse expenses that were paid by OSU, then you must include the relevant document number. The FOBC staff or your office manager can assist you in finding the number. Example expenses include travel costs and books.

Document Number

Contact your office manager or the FOBC staff for assistance if necessary.

Customer order/contract number

Amount *

Leave this field blank

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

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