Restricted Funds Payment 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*

PayPal or ACH Direct Deposit are our strongly preferred methods as they avoid issues with checks lost in the mail or uncashed. We can issue a check if the recipient cannot receive PayPal or ACH payments - checks can be mailed to the recipient or picked up in North Oakland (address to be provided if pickup is specified).

PayPal to recipient (fastest)
ACH Direct Deposit (allow about 7 days)
Check (allow about 7 days plus USPS time)

NOTE FOR ACH PAYEES - WILL BE COLLECTING BANK INFO VIA EMAIL

If we have not previously paid the Payee via ACH Direct Deposit, we will be emailing them a secure form to collect their bank account information. Once we receive bank information, the payment will be initiated and can take up to 7 days to be deposited in their bank account.

Payee Information

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*

PLEASE MAKE SURE THIS INFORMATION IS ACCURATE! Payee must have or set up a PayPal account. We can send PayPal payment to either a PayPal @name, 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 mail it to you at your home or BUSD location so you can give it to payee (please specify your mailing location in the Additional Payment Instructions below), or it can be picked up in Berkeley at the district office (you will be notified when it is ready).

Mail check to payee via US mail
Mail check to requester (you) via US mail
Payee to pick up the check in Berkeley at District Office
Requester (you) to pick up the check at District Office

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, upload receipts here. For payment to an individual for services, or to a company for products or services, upload invoices or other payment documentation here.

Reimbursement - upload receipts here
Payment to individual for services - upload invoice here
Payment to an organization - upload invoice here
Student Scholarship - upload proof of enrollment here

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, png, pdf). If you have a receipt in email, please save the email as a pdf and upload here.

Drop files here or

Max. file size: 50 MB.

Additional Payment Instructions

If you have other special instructions, provide details here.