Schools Fund Equity Grant - Check Request - Berkeley Public Schools Fund

Project Coordinator*

First Last

Email address*

Grant Category*

Specify whether this is a "Leading for Equity" or a "Learning for Equity" grant.

Leading for Equity Grant
Learning for Equity Grant

Project Title*

Grant title as it was listed on your grant application

Hidden

School

Indicate the school that the grant was designated for

Grant number*

Enter the full grant number as specified in the email you received about your grant award (e.g. 1-751)

School Year for this grant*

Please enter the academic year that this grant was awarded for.

Amount of this payment*

Specify the amount of this payment. DO NOT INCLUDE $-SIGN OR COMMA.

Purpose of payment*

Briefly - describe what this payment is for. Examples: "reimbursement for supplies", "payment to outside organization for presentation", "registration fees for training", etc.

Is check payable to a person or an organization?*

Specify whether the check should be written to a person or to an organization.

Check to be made out to:*

First Last

Check to be made out to organization:*

Organization name

Address of payee:*

Street Address City State / Province / Region ZIP / Postal Code

Email address of payee*

We need to have payee contact information in case we have any questions for them.

Phone number of payee*

We need to have payee contact information in case we have any questions for them.

Where should we send the check?*

We can mail the check directly to the payee, or mail it to you at your BUSD location (so you can give it to payee - please specify your mailing location in the Additional Payment Instructions below). We are still working remotely, so will not be in the office for check pickups there.

Mail check to payee via US mail
Mail check to project director via US mail (specify address in Additional Payment Instructions)

Tax Information May Be Required

If the payee is an individual that is being paid for their services, then we require their tax ID number (unless we already have that on file). Please either have the payee contact us with their information or complete an IRS W-9 form (just Google "IRS W-9 form" to find a fill-in form) and return it to us. We cannot make payment without this information.

Attach W-9 form here

If you have a completed IRS W-9 form, you can attach it here.

Max. file size: 50 MB.

Receipts or other payment documentation*

Depending on the type of payment, different documentation is required. When payment is for reimbursement, copies of receipts should be uploaded here or emailed to the Schools Fund at schoolsfund@berkeley.net. For payment to an individual for services, or to a company for products or services - upload or email a copy of any invoice or other payment documentation.

Reimbursement - send copies of receipts to Schools Fund
Payment to individual for services - upload copy of invoice or email with payment instructions
Payment to an organization - upload copy of invoice or email with payment instructions

Copy of receipt(s) and/or invoices

If you have a paper receipt or invoice, please scan or photograph and attach a copy here (filetypes accepted are jpg, gif, png, pdf). If you have a receipt in email, you can just forward the email to schoolsfund@berkeley.net.

Drop files here or

Max. file size: 50 MB.

Additional Payment Instructions

If you have other special instructions, provide details here.

Name

This field is for validation purposes and should be left unchanged.