Form 4.1 Bill Payment Authority can ONLY be printed and returned via scan (email) or post. Please download the form below to complete. Please retain a copy of this for your records.
|INSTRUCTIONS - Completing the Bill Payment Authority|
|Month of||Enter month in which payments are made|
|Date||Enter date of invoice|
|Invoice Number||Enter the invoice number|
|Payee's Name||Enter name of person/organisation on invoice
|Total Amount of Invoice||Enter full amount of invoice to be paid. If any item is to be credited or price is incorrect – make a note of any adjustment under the payees name and enter only the amount CCSA is to pay on your behalf|
|Expense Code||Indicate which expense item on your Chart of Accounts the payment should be allocated to|