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AFA Invoice Request Form
What is the name of the series?
*
What is the dollar amount requested for this invoice?
When is the date this invoice is being requested?
Typically today's date.
Billing Information
What is the name of the purchasing organization?
What is the primary billing POC name?
What is the primary billing POC email address?
What is the primary billing POC phone number?
What is the billing address?
Include all lines except city, state, and ZIP.
Lines 1 and 2
City
State
ZIP code
What is the internal purpose of this invoice?
What is this invoice's revenue type?
Is this invoice a government grant?
This rarely applies.
Government grant?
Yes
Government grant?
No
What is the revenue account number?
What is the program number of the program receiving this revenue?
What is the memo on the invoice?
The client can see this as the line item of the invoice amount. To request more line items or a subtotal, contact Finance.
When is the invoice issue date?
When is the invoice due date?
Typically the last date of the month in which services are performed.
Submit