Request for Special Payment - University of …payroll.tennessee.edu/pdfs/t-27.pdfREQUEST FOR...

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REQUESTFORMISCELLANEOUSPAYMENTWITHOUTANINVOICE

T-27FORMImportant:Donotusethisformif:

• Avendorrecordhasn’tbeencreatedinIRIS.Avendormustberequestedandcreatedbeforesubmittingthisform.

VendorName: IRISVendor#: Address: SSN/ITIN/FIN#:

Contract#(Ifapplicable):

UTDepartmentalName:

AmountRequested:

UTDepartmentalEmail:

AmountRequestedHour/Day/Week/LumpSum XRate =AmounttoPay: DatesofService:__________________to __________________________Descriptionofservicesorgoodsbeingprovided:

Fund G/L IO Amount Approval

-ForNon-ResidentAliensonly,theoriginalformmustbeforwardedtotheTreasurer’sOffice.-

• Ifpaymentistoanindividual,dotheserviceslistedontheworker’sclassificationquestionnaireattachedtotheirvendorrecordinIRISagreewiththoselistedonthisform?Thisdoesnotapplyifthevendorisacompanyorotherentity.

YesNo

If“No”,anupdatedworkerclassificationquestionnaireneedstobecompletedandattachedtothisform.

• Isthepaymenttoauniversityemployee?

YesNo

Onlyroyaltyandclinicaltrialpaymentsmaybeprocessedtoemployees.AllotherpaymentsmustbemadethroughpayrolloranexceptiongrantedbytheTreasurer’sOffice.

• IsthepaymenttoacurrentorfutureUTstudent?YesNo

Ifyes,awrittencorrespondencemustbeobtainedfromthecampusfinancialaidofficeandattachedtotherequest.

• InwhatCountryweretheseservicesperformed?

• Weretheservicesperformedbyanon-residentalien?

YesNo

Ifyes,theUniversity’sIndependentContractor/GuestTravelerformandallapplicabledocumentsmustbeattachedtothisrequest.VisittheSystemPayrollOfficewebsitetolearnmoreabouttheformsrequiredforthesepayments–http://payroll.tennessee.edu/

Date:__________________________

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