Restricted Funds - Check Request - Berkeley Public Schools Fund

Name of person submitting the form*

Form should be submitted by an approved coordinator for the restricted fund.

First Last

Email address of person submitting form*

Name of Restricted Fund*

This is the name of the restricted fund that this payment should be made from.

Amount of this payment*

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

Description*

Describe what this purchase is for.

Is payment to a person or an organization?*

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

Payment Type*

A check can be mailed to the recipient or picked up in North Oakland (address to be provided if pickup is specified). If the recipient has a PayPal account, payment can be made more quickly via PayPal.

Check - mailed to recipient or picked up
PayPal to recipient

Payee Name:*

First Last

Payment to be made to organization:*

Organization name

Address of payee:*

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

PayPal Account @name, Email or Mobile Phone*

Payee must have or set up a PayPal account. We can send PayPal payment to either an email address or mobile phone number.

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 payment?*

We can mail the check directly to the payee, or it can be picked up in North Oakland (address to be provided when pickup is needed).

Mail check to payee via US mail
Payee to pick up the check in North Oakland
Requestor (you) to pick up the check in North Oakland

Tax Information May Be Required

If the payee is an individual or organization that is being paid for their services, then we require their tax ID number (unless we already have that on file). Please let your payee know that we will be requesting IRS W-9 information before we can send payment. We have a new secure way for them to upload the information to us, so this form no longer requests uploading W-9 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
Student Scholarship or Family Assistance (no receipts needed)

Copy of receipt(s)

If you have a paper receipt, 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

Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB.

Additional Payment Instructions

If you have other special instructions, provide details here.

Restricted Funds Check Request

Tax Information May Be Required