Payment Request Form

Submit a Payment Request

Instructions

Use this form to submit a payment or reimbursement request to OATS.

You MUST attach a form W-9 for your payment request processed. If you have previously submitted a W-9 to OATS, you do not need to resubmit it with subsequent payment requests.

Download a blank form W-9

Receipts are required for requests for reimbursement (e.g. a map for mileage reimbursement, a hotel receipt, or rental car receipt).
Click "submit" on the form below after uploading your documents.

Once your payment has been processed by the business office (usually within 2 weeks), you will receive an email from Bill.com via the Organic Trade Association (OATS' fiscal sponsor). Follow the instructions in that email to initiate the funds transfer.

Questions? Contact mallory@organicagronomy.org.

Payment Request Form

Name

First Name

Last Name

Email

Reason for Payment Request

E.g. travel reimbursement or speaking at an event

Amount Requested

$

Preferred Payment Method

Electronic funds transfer

Paper check by mail

Who should the payment be made out to?

My name

Company/organization

Other - please list in the "Message" section below

Company/Organization

(optional)

Address

Must match address on your form W-9

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

After attaching a W-9/invoice/receipt, you MUST hit the orange "Submit" button below to complete your payment request.

Submit Form W-9 ATTACH

Submit an Invoice ATTACH

Submit Receipts ATTACH

Indicate the items that you attached:

W-9 attached

W-9 not attached - OATS/OTA already has my W-9 on file

Invoice attached

Receipts attached

Message

Anything else we need to know? Provide a mailing address here if you want a paper check sent to a different address than on your W-9.

Submit a Payment Request

Instructions

Payment Request Form

OATS | Organic Agronomy Training Service