Reconciling Scrip orders prior to 12/7/2015
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Complete the Certification of Scrip Payments (Excel) (PDF) form every 90 days, or sooner if
requested.
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If the trial is confidential:
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o
Check the Confidential Study box.
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Retain the list of recipients in a secure area of your department.
If the trial is not confidential:
o
Check the Non-Confidential Study box.
o
Attach the completed Scrip Issue Log (Excel) (PDF).
Returning Scrip prior to 12/7/15
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Complete a Scrip Returns (Excel) form.
Write “void” on each Scrip you are returning.
Attach the voided Scrip to the form.
Return all forms and supporting Documentation to Payment Services.
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Mail completed forms, voided Scrip, and supporting documents to Scrip Program Administrator,
Mail Code 0955.