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Music Payee Request Form

This form is for requesting financial support services from the School of Music Business Office to pay for contractual services.

For the purposes of this form, the term "payee" is used to describe the person, company, or entity who you, the "requestor," is requesting LSU compensate.

Services Information

Start Date of Services *

End Date of Services *

Please note that a student worker who is NOT already employed by the university cannot start working sooner than two weeks prior to the request submission date.

Estimated Hours Worked For This Period

Business Purpose of Visit(s)*

Benefit to College *

Supporting Documentation

No File Chosen

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If you have any supporting documentation for the visit(s), please upload it here. Accepted file types: PDF, DOC, DOCX, CSV, TXT

Total for Travel and Services * $

Do you anticipate that total expenses related to this residency, including travel, lodging and fees, will exceed $2,000?*

Yes No

Note: If the total expenses will exceed $2,000 for this payee request, a PUR-SS form will be required. Please download the form at the link below, fill it out, and re-upload it here with your payee request. Every field on the PUR-SS form must be filled out. Do not leave anything blank and do not indicate "not applicable" for any field.

Blank PUR-SS Form

https://www.lsu.edu/administration/ofa/procurement/Word_Docs/purss_rev4821.docx

PUR-SS Form Upload*

No File Chosen

File uploads may not work on some mobile devices.

Account Information

When providing account information, please be sure to use the appropriate alpha-numeric nomenclature. Improperly entering account information may delay the processing of your request.

Examples of account numbers can be the following:

PG001234
BG005678
GR-00009876 (if a grant)

Account 1*

Use of Account 1*

Amount Charged to Account 1* $

Account 2

Optional

Use of Account 2

Amount Charged to Account 2 $

Account 3

Optional

Use of Account 3

Amount Charged to Account 3 $

Account 4

Optional

Use of Account 4

Amount Charged to Account 4 $

How should payment be issued to your Payee?*

One lump sum, upon completion of services Monthly installments Multiple installments, to be paid according to a schedule given below

First Payment Date*

Second Payment Date*

Third Payment Date

Additional Notes

Payee Request Acknowledgement*

I understand and acknowledge the following: Please allow up to 30 days for processing of the payee request; additional processing time may be needed if Payee is not registered as a Supplier with LSU. Payee will receive payment once all information is received by the School of Music Business Office AND approvals received by LSU Procurement Services and Accounting Services.

GDPR Compliance Statement*

I authorize that all information provided on this form, including any personal data, contact information, or financial information, may be shared with the LSU College of Music & Dramatic Arts to facilitate planning and coordination of business office services. This data will be retained indefinitely. To learn more about privacy at LSU, please see the LSU Privacy Statement.

Music Payee Request Form

Basic Information

Services Information

Account Information