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 fiscally sponsored project. Your request goes to the project steward for review and approval, then to our accounts payable team for disbursement. You do not need an account to submit a request.
Before you start
For services and payments, we cannot pay without a fully completed W-9 and a description of your role. For reimbursements, please submit a receipt or invoice for each expense. We cannot pay or reimburse any expense without clear documentation. Ideal documentation includes the dollar amount, the date of the expense, the vendor, and an itemized list of what was paid for.
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 the form that applies to you, complete it, and upload it with your request below.
- Download the W-9 form (US individuals and businesses)
- Download the W-8BEN form (foreign contractors)
Submit your request
Invoice requirements
If you are submitting an invoice, it 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