Direct Payment Request

Note: This form is for FP&M internal use only.


  • This form is to be used when requesting both Direct Payments and Payments to Individuals. Please be advised that direct payments are not to be used to pay UW Students, UW Employees, or Refunds.

    Please note that this request will be rejected if you are requesting a Direct Payment greater than $5,000. Please complete a purchase requisition or use the Non-Conforming PO form in ShopUW+.

    Please contact BOP at fpmbop@fpm.wisc.edu if you need additional information.

    If the request is for a supplier not already set up in ShopUW+ you will be required to obtain a W9 from the supplier.

  • Contact Information

  • Enter your first and last name.
  • Enter your email address.
  • Enter your phone number, including area code.
  • Payee Information

  • Enter the complete name of the supplier.
  • Enter the address where the check should be sent.
  • Example: bulk mail permit fee, etc.
  • Describe why the University is making this payment (i.e., the full business purpose of the payment). Example: replenish the permit fee for bulk mail services.
  • Enter the amount of this direct payment request.
  • If you do not have an invoice, leave this field blank.
  • Funding Information

  • For help on funding strings, please visit Purchasing.

    Note: Each funding string must have the following components:

    • Department (6 digits)
    • Fund (3 digits)
    • Program (1 digit)
    • Account Code (4 digits)
    • Project (6 characters, alphanumeric)
    • Class (4 digits)
  • Enter one or more funding strings for this direct payment request. If you enter more than one funding string, define an allocation percentage for each row (totaling 100).
    DepartmentFundProgramAccount CodeProjectClassPercentage 
  • Attach all of the required documentation for this direct payment request.
    Drop files here or
    Max. file size: 24 MB.