Request a Payment – Department of Bioregion

Use this form to request a payment from the Department of Bioregion: a reimbursement for an expense you have already paid, or a payment for services to a program or fiscally sponsored project. Your request goes to the program steward for review and approval, then to our accounts payable team for disbursement. You do not need an account to submit a request.

Submit your request

Submitter

Your Information

First Name

Last Name

Email Address

We will email you when your payment is sent.

Phone Number

Request

Expense Details

Requesting payment from: Department of Bioregion

I would like to

Total Amount Requested

Maximum $10,000.00 per request. For a larger amount, email payables@deptofbioregion.org before submitting.

Expense Description

Payment Details

Who Is Being Paid

Is the entity being paid a...

DBA / Business or Vendor Name (if different than above)

Payment

Payment Method and Address

Country Where You Will Receive Payment

The available payment methods update based on your country.

Preferred Payment Method

Some vendors charge transaction fees for credit card or PayPal. We cannot pay via Venmo or Zelle. Mailed checks and US bank transfers require a United States payment country; Wise (direct bank transfer) is available everywhere, including the US. For credit card or bank payments, please upload an invoice with the necessary information.

Mailing Address

City

State / Province

Postal Code

Documentation

Receipts, Invoices, and Tax Forms

Receipts / invoices

Choose Files

Up to 10 files across both upload fields. Accepted: JPG, PNG, HEIC, WEBP, GIF, PDF, DOC, DOCX, XLS, XLSX. Max 15 MB per file. If a file does not appear in your phone picker, set the file-type menu to All files.

For reimbursements, include a receipt or invoice for each expense. Documentation should include dollar amount, date of expense, vendor, and an itemized list of what was paid for. These documents are visible to the project steward team during review.

Tax form (W-9 or W-8BEN)

Choose Files

W-9 (US payees) or W-8BEN (outside the US). A PDF or a clear photo (JPG, PNG, HEIC) is fine. Required before we can pay for services.

Tax forms are kept private: they are reviewed only by staff and are never shown to project reviewers or included in notification emails.

Anything else (optional)

A reference or memo line, or any detail the steward needs.

I confirm the information above is accurate.

Tax Forms

A fully completed W-9 and role description are required before payment can be processed. For reimbursements, submit a receipt or invoice for each expense.

Download W-9 Form (US individuals and businesses)
Download W-8BEN Form (foreign contractors)

Invoice Requirements

Invoices should include the following:

Invoice number
Invoice date
Your full legal name, mailing address, email, and tax ID (SSN or EIN)
Organization name, address, and contact email
Clear description of services or goods, including dates, location, or event name
Line items and subtotal
Total amount due
Payment preferences
Due date or payment terms (e.g., Net 15, Net 30)
Optional: signature or certification line