Follow the steps to successfully fill out your disbursement request form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the beneficiary's name in the designated field at the top of the form. Ensure that the name matches the records accurately.
3. Fill in the date of receipt or invoice to provide context for the request.
4. In the vendor/provider/place of purchase section, input the name of the entity or individual from whom the goods or services were acquired.
5. Describe the item(s) or service(s) purchased in detail. Precision here assists in clarity and verification.
6. Calculate and enter the total amount requested. This figure should reflect the sum of all items and services listed.
7. Confirm that all provided receipts/invoices/bills are itemized, complete, and securely attached without markings.
8. Designate who the check should be payable to in the specified field and include the corresponding address, city, state, and ZIP code.
9. If mailing to a different address, fill out the 'Mail to' section with the necessary details.
10. Complete the section regarding the requester by providing your full name, contact telephone number, and email address.
11. Indicate your relationship to the beneficiary by checking the appropriate box and providing further explanation if needed.
12. Sign the form to attest that the purchases were for the sole benefit of the trust beneficiary, ensuring compliance with legal requirements.
13. Finally, submit the completed form and all receipts/invoices/bills via the indicated methods, ensuring you record the submission date.

Submit your completed disbursement request form online for prompt processing.