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University of Hawaiʻi System

Financial Management Office

  • Home
  • Services
    • Account Codes
    • Capital Assets
    • Cash Handling and Deposits
    • Financial Systems
    • Fiscal Administrators
    • General Accounting
    • Payment/ Reimbursement
    • Payroll
    • Revenue Bond Financing
    • Student Accounts
    • Student Loans
    • Tax Services
    • Travel
  • Systems Access
  • Forms
  • Newsletters
  • Payment/ Reimbursement
    • FAQs – Disbursing
    • Contact Us – Disbursing
    • Policies and Guidelines – Disbursing
    • Forms – Disbursing
    • Training – Disbursing
  1. Home
  2. Payment/ Reimbursement
  3. Forms – Disbursing

Forms – Disbursing

If you require assistance completing any of the listed forms, please contact the Disbursing Office at uhdisb2@hawaii.edu or (808) 956-8575.

Relocation Forms

DISB-17A – Employee Relocation Allowance Worksheet for W-2 Reporting of Moving Exp.
DISB-17B – Relocation Allowance, Receipt, Acknowledgement & Agreement Statement

Lease/Rent Forms

DISB-41 – Lease/Rent Payment Form

ACH/EFT Forms

ACH/EFT Flyer – ACH/EFT Flyer
DISB-ACH – Electronic Funds Transfer Authorization

Miscellaneous Forms

DISB-37 – Special Check Distribution Request
DISB-37IN – Instructions for Special Check Distribution Request
DISB-45 – Certification of Academic Activity for Foreign Visitors
DISB NE-INV – Non-Employee Invoice
DISB WH-1 – WH-1 Statement of Citizenship & Federal Tax Status
Foreign Source Memo
Foreign Vendor Document Requirements
Computation of Interest for Late Payment Worksheet
Late Interest Letter Template
Cash Advance Instructions
Cash Advance Promissory Note Sample
List of Participants Sample
Third Party Payment-NRA Only
Third Party Payment-US Citizens and Resident Aliens

Wire Transfers

Procedures
Purchase Order Sample
Library Sample
DISB-WIRE – Wire Transfer Form

Disbursement Vouchers (DV) Multiple Invoices

Information
DV Multiple Invoice Matrix
DV Multiple Invoice Example Tabs
DV Multiple Invoice Import Procedure

Mobile Device Forms

DISB-15 –Employee Mobile Device Program

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  • Payment/ Reimbursement
  • FAQs – Disbursing
  • Contact Us – Disbursing
  • Policies and Guidelines – Disbursing
  • Forms – Disbursing
  • Training – Disbursing
  • Recent Posts

    • FMO Newsletter-May 2025
    • FMO Newsletter-April 2025
    • FMO Newsletter-March 2025

Financial Management Office

1406 Lower Campus Road
Building 171C, Rm #41
Honolulu, Hawai‘i 96822
Contact Us
Telephone: (808) 956-7161
Fax: (808) 956-9497
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2444 Dole Street
Honolulu, HI 96822
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