Strategic Impact Grant - Check Request - Berkeley Public Schools Fund

This form is used to request a payment for your Strategic Impact grant. It should be submitted by the Project Coordinator of the grant.

Project Coordinator*
First Last
Email address*
Project Title*
Grant title as it was listed on your grant application
School*
Indicate the school that the grant was designated for
Grant number*
Enter 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.
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, send it to you at your BUSD location (so you can give it to payee), or hold the check for pickup in our office.
- Mail check to payee via US mail
- Mail check to payee via district mail
- Mail check to project director via district mail
- Pick up the check at the Schools Fund office
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.
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 sent to the Schools Fund by either email or district mail. For payment to an individual for services, or to a company for products or services - send a copy of any invoice or email with payment instructions.
- Reimbursement - send copies of receipts to Schools Fund
- Payment to individual for services - send copy of invoice or email with payment instructions
- Payment to an organization - send copy of invoice or email with payment instructions
Additional Payment Instructions
If you have other special instructions, provide details here.
Email
This field is for validation purposes and should be left unchanged.

Strategic Impact Grant – Check Request

Tax Information May Be Required

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