Follow the steps to complete your payment request efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editing interface.
2. In the purchase order number field, enter the relevant purchase order number if applicable. If no purchase order exists, you may leave it blank.
3. Fill in your full name in the designated name field, followed by the last four digits of your Social Security number or your Tax Identification Number (TIN) in the appropriate section.
4. Provide your complete address in the address section to ensure accurate communication regarding your payment.
5. Indicate whether you are a US citizen by selecting 'Yes' or 'No' in the respective field.
6. Complete the contact person section with the name and phone number of the person who can be contacted regarding this payment request.
7. Input the start date and ending date for the services rendered in the respective date fields.
8. In the description of services being requested section, provide a clear and concise description of the services performed to justify the payment.
9. Fill out the charge section by entering the appropriate fund, organization, account, and program codes as required.
10. Specify the total expenditure in dollars, which corresponds to the total amount of the purchase order.
11. Indicate the current payment amount due in the respective field.
12. Finally, ensure that the department head and dean/director/budget unit head sign and date the form for approval.
13. Once all fields are completed, review the form for accuracy, then save your changes, and choose to download, print, or share the form as necessary for submission.

Complete your Independent Contractor Request For Payment online today to facilitate prompt processing of your request.