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Accounts Payable Forms

ACH/Wire Transfer Request

Use this form to request ACH or wire transfer payments.

Awards and Prizes Informational Form

This is an informational form to be completed and attached as support within Concur if any awards/prizes/gifts are being provided to individuals. This form assists Accounts Payable to track and to determine taxability of an award, prize, or gift.

Foreign Source Income Statement

The purpose of this form is to obtain information for tax evaluation. The form is to be completed when services are provided from a country other than the United States of America.

California Form 590

California Form 590 is a Withholding Exemption Certificate. (This form can only be used to certify exemption from nonresident withholding under California R&TC Section 18662. Do not use this form for exemption from wage withholding.)

IRS Form W-9

IRS Form W-9 is a Request for Taxpayer Identification Number and Certification.

Missing Receipt Affidavit

Use this form to certify that the amounts from missing receipts were properly expended in connection with job responsibilities at Loyola Marymount University.

Non-employee Mileage Reimbursement Request 2022

Non-employee Mileage Reimbursement Request 2023

The purpose of this form is for non-employees to request reimbursement for the mileage accrued on a personal vehicle while traveling on university-related business. University employees use the Workday system for mileage reimbursement requests.

P-Card Application

Used to apply for a university purchasing card.

P-Card Cardholder Agreement

This form is used to comply with the terms and conditions of the P-Card agreement and the provisions of the P-Card Policies & Procedures provided.

P-Card Surrender Form

An agreement to surrender the P-Card immediately upon request, upon transfer to another university department or upon termination
of employment.

Travel Expense Report (non employee)

Used for non-employee travel reimbursements only. To obtain reimbursement for business related travel expenses the traveler must complete a Travel Expense Report. All employee travel reimbursements must be completed in Concur.

Standard Agreement Templates

Independent Consulting Agreement

Template for agreements with independent contractors that has been approved by Risk Management. Any significant changes to this templates or use of other agreement templates must be sent to risk management for review and signed by the Chief Financial Officer.

Independent Consulting Agreement Business Process

The business process to follow when routing independent consulting agreements for approval.

Independent Consulting Agreement Routing Form

Routing approval for independent consulting agreement.

Independent Contractor Checklist

This checklist is used to determine the employment status of an independent contractor.

Speaker Agreement

Template for agreements with guest speakers that has been approved by risk management. Any significant changes to this templates or use of other agreement templates must be sent to risk management for review and signed by the Chief Financial Officer.

General Accounting Forms

New GL Account Form

Use this form to request a new GL account or add a new object code to an existing GL account.

Reclassification Form / Reclassification Form Instructions

This form is a request for reclassification/corrections to departmental accounts, inter-departmental transfers to request the transfer of funds to other organizations/projects with no specific associated costs that cannot be processed as a BCR and fiscal year end accruals/deferral entries. Please complete the form in full and email the excel version to

Budget Forms

Budget Amendment Request

For restricted accounts, complete the form and email to

Other Forms

Cashier Deposit Form

This form is required for all deposits to the University Cashier. If the form is not completed in its entirety, it will be returned. If you are returning funds to the University because you are returning a cash advance or inadvertently charged a personal expense on your P-card, the account number on the deposit form should be 11-2-00000-81040-1233. Please be descriptive on what the funds relate to, including the expense report name and date and the transaction date. Also include a copy of the cashier deposit form to the expense report.

Replenish Petty Cash Form

This form is used to replenish pre-approved petty cash funds. The form must be signed by the custodian of the petty cash fund and submitted to Accounts Payable along with applicable receipts/supporting documents. The list of petty cash custodians is maintained at the Controller's office. Please contact the Controller's office to update custodian names, if applicable.

Student Accounts Requisition Form

The purpose of this form is to request payment to a student's account from departmental funds. Please be aware, this may impact the student's financial aid.

Vehicle Request Form

The Vehicle Request Form (VRF) is a worksheet for the analysis of new vehicle assets the university is seeking to acquire. This exercise assists in determining the type of service this vehicle will need to perform for the end-using LMU entity as well as the support needs of the vehicle.