Treasurer's Office Payment Inquiries Form
Treasurer's Office
Payment Inquiries Form
Request/inquiry
Type of payment inquiry or request
(required)
Please select...
Status - Electronic Payment
Status - Check Payment
Status - Wire Payment
Electronic Payment Enrollment
Fraudulent Check Claim
Check Copy
Other
Details of your request/question (required)
Status - Electronic Payment Information
Lookup electronic payment by (required)
Please select...
Invoice
Payment
Voucher
Payee Name (required)
Invoice Number
(required)
Invoice Amount (required)
Payment Number
(required)
Payment Date
(required)
Payment Amount (required)
Voucher ID (required)
Electronic Payment Enrollment Information
Supplier Name (required)
Supplier ID Number (required)
Supplier Contact Name (required)
Supplier Contact Phone Number (required)
Supplier Contact Email Address (required)
Payment Option (required)
Please select...
Recipient Select Plus (RSP) - Individual Suppliers Only
Paymode ACH - Organization Suppliers Only
Paymode Virtual Card - Organization Suppliers Only
Status - Check Payment Information
Lookup check payment by (required)
Please select...
Invoice
Payment
Voucher
Payee Name (required)
Invoice Number
(required)
Invoice Amount (required)
Payment Number
(required)
Payment Date
(required)
Payment Amount (required)
Voucher ID (required)
Wire Payment Status Information
Lookup wire payment by (required)
Please select...
Invoice
Payment
Voucher
Payee Name (required)
Invoice Number
(required)
Invoice Amount (required)
Payment Number
(required)
Payment Date
(required)
Payment Amount (required)
Voucher ID (required)
Check Copy Payment Information
Payee Name (required)
Check Number (required)
Check Date (required)
Check Amount (required)
Fraudulent Check Claim Information
Describe the fraudulent item(s) below: (required)
Your Current State: (required)
Please select...
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
VI
WA
WV
WI
WY
Fraudulent Check Information
Payee Name (required)
Check Number (required)
Check Date (required)
Check Amount (required)
Do you have a particular person you suspect of having misused the check(s) listed above? (required)
Please select...
Yes
No
Suspected person information
Name (required)
Street address (required)
City (required)
State: (required)
Please select...
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
VI
WA
WV
WI
WY
Zip code (required)
Are you willing to prosecute? (required)
Please select...
Yes
No
Did you file a police report? (required)
Please select...
Yes
No
Police report information
Name of law enforcement agency (required)
Case Number (required)
Investigator’s name (required)
Phone number (required)
Did you close the affected account? (required)
Please select...
Yes
No
Do you have any attachments? (required)
Please select...
No
Yes, I have 1 attachment
Yes, I have 2 attachments
Yes, I have 3 attachments
Yes, I have 4 attachments
(Please provide any documentation that would be necessary to process your request. The faster we get what's needed to process your request, the faster it will be resolved.)
Attachment (required)
Additional attachment 1 (required)
Additional attachment 2 (required)
Additional attachment 3 (required)
Please provide your contact information so we can send you the completed form for your wet signature.
Please provide your name and email so we can respond!
Name
(required)
(first last)
Phone number
(required)
Email
(required)
(if you are a UMass employee, use only your University of Massachusetts email address)
Campus
(required)
Please select...
UMass Amherst
UMass Boston
UMass Dartmouth
UMass Lowell
UMass Online
UMass Presidents Office
UMass Worcester
UMass Foundation
N/A
Additional comments (optional)
Please note once we have the signed form back it will take our bank an estimated 90 business days to determine the outcome of your claim.