Form 4.1 Bill Payment Authority

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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.

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Download Form 4.1 Bill Payment Authority as PDF

INSTRUCTIONS - Completing the Bill Payment Authority
Field Action
Month ofEnter month in which payments are made
DateEnter date of invoice
Invoice NumberEnter the invoice number
Payee's NameEnter name of person/organisation on invoice
Total Amount of InvoiceEnter 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

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