|
| Payee Name | Federal I.D. Number |
| Payee Signature | EMPLID (Students & Employees Only) |
| Email address (Required for all Payees) | Date |
| Financial Institution Name (Bank) |
| Financial Institution Address (Street, City, State, Zip) |
|
Checking__________ Savings__________ |
Account Number |
| Employees and Students must ATTACH A BLANK VOIDED CHECK OR SAVINGS ACCOUNT DEPOSIT SLIP from the account to which you would like your reimbursement deposited, and return it to the Accounting Office, Attn: Accounting , 224 Administrative Center, Kansas City, Missouri 64110 |
Last updated December 18, 2001