Get Challenge Adrien Cayol Form

The Challenge Adrien Cayol Form is an essential document used for processing payments efficiently. This guide provides clear instructions for filling out the form online, ensuring that users can complete it accurately and confidently.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the Originating Agency section, input the name of the State Department or Agency that is being billed, limited to 30 characters.
3. Enter the Origination Agency Code associated with your submission in the designated field.
4. Fill in the Payment Date using the MM/DD/YY format to indicate the date of payment.
5. Specify if the payment is interest eligible by selecting 'Y' for yes or 'N' for no.
6. Next, locate the Payee ID field and enter your Federal Employer Identification Number (EIN); if you do not have one, use your Social Security Number without any hyphens or spaces.
7. Complete the Payee Name section by entering your name as it appears on your Social Security card, along with your business name if applicable.
8. Provide your mailing address, ensuring it meets U.S. Postal Standards, and include your relevant Zip code.
9. In the Ref/Inv. No. section, enter any reference or invoice number aligned with your payment, ensuring it does not exceed 20 characters.
10. Fill in the Description of Material/Service section with detailed information as required, ensuring that all entries match the corresponding column headings.
11. In the Payee Certification section, indicate your title and provide your signature, certifying that the information provided is true and correct.
12. Finally, save your changes, and choose to download, print, or share the completed form as required.

Complete your Challenge Adrien Cayol Form online today for a seamless payment process.