DOMESTIC EFT
WIRE/ACH TRANSFER FORM
ALL sections must be completed to process the transfer request.
DO NOT USE THE ENTER KEY – USE THE TAB KEY OR CURSOR WHEN COMPLETING THE FORM
For further assistance, please contact Toni Belluscio at tonibell@treasury.rutgers.edu or (848) 445-2875
Send required paperwork to Treasury Operations 33 Knightsbridge Road, Piscataway, West Wing - Floor 2
DATE:
7/2/2016 2:23 AM
Payment Due Date:
Amount of Transfer Request:
( US $ only)
Department Name:
Preparer’s Name:
Preparer’s Email Address:
Preparer’s Phone #
Approver’s Name:
Approver’s Email Address:
Approver’s Phone #:
Departmental Approver’s Signature ___________________________
(original signature required – see page 3 for the appropriate approver and level requirements)
Requisition #:
PO #:
Invoice #:
Brief description of transaction purpose:
Vendor/Supplier Information
Vendor Name:
Street Address:
City/State/Zip:
Beneficiary Bank Information
Bank Name:
Street Address:
City/ State/ Zip:
Vendor’s Bank Account NAME:
ABA/Transit Routing #:
Bank Account #:
Additional notes and/or bank codes if provided by the vendor (not mandatory):
DO NOT WRITE BELOW THE SHADED AREA
Treasury Operations Approval:
Revised 1/16
Authorization:
DOMESTIC EFT REQUEST INFORMATION
PROCESSING TIME - EFT transfers take approximately 4-7 business days from when the correctly
completed hard copy EFT request with all proper backup is received by Treasury.
EFT FORM COMPLETION - The EFT form is an internal form and should not be sent to the vendor
for completion.
BANKING INSTRUCTIONS FROM THE VENDOR
 The vendor must send their banking instructions via the invoice or separate e-mail and the
preparer must transfer the information on to the EFT form
 The vendor’s banking instructions must be sent to Treasury each time an EFT request is made
 If banking is presented in an e-mail, print out the e-mail and include it in your backup
COMBINING INVOICES ON ONE EFT REQUEST - The bank, account name and account numbers
must be identical – enter both PO or check requisition numbers and one total on the EFT form.
EFT FORM BACKUP - All EFT transfer requests need a PO, check request or TABER request for
payment processing. Check with Procurement and/or A/P if you need assistance regarding the appropriate
payment type. See below for additional backup requirements.
RIAS - The first words in the RIAS description box (or TABER description box) needs to be EFT
TRANSFER in capital letters.
PO - Send to Treasury a completed hard copy EFT form with the approver’s original signature and a copy
of:
 PO
 Invoice
 Bank instructions showing they are coming from the vendor
CHECK REQUEST - Send to Treasury a completed hard copy EFT form with the approver’s original
signature, the requisition# noted in the proper area on the EFT form and a copy of:
 Invoice
 Banking instructions showing they are coming from the vendor
For an Honorarium - an invoice is not required - the additional information below is required
 Marketing material showing the name of the Honorarium recipient and date of engagement
 Approval by an appropriate Rutgers representative offering the individual payment and the
amount of payment (the invitation may be proposed in an email)
TABER - Do not requisition for a PO or a check request. On the EFT form enter the word TABER in the
section for the PO or Requisition#. Send the following to Terri Shields – ASB I – 65 Davidson Road,
Piscataway, Room 309 - a completed hard copy EFT form with approver’s original signature, required
TABER backup and a copy of:
 Currency conversion sheets on the date expense incurred for foreign currency types if applicable
 Approval by an appropriate Rutgers representative agreeing to pay the expenses incurred
 Banking instructions showing they are coming from the vendor
Revised 1/16
IDENTIFYING THE DEPARTMENTAL APPROVER
FOR AN EFT REQUEST

It is mandatory that approvers signing the EFT form are those designated in RIAS as approvers
for spending on the Org Code ID associated with the PO, check request or TABER corresponding
with the transfer request

Approvers must provide original signatures - Copies of signatures or signatures not corresponding
with the Org Code will not be accepted and paperwork will be sent back to the originating
department for the appropriate signature
Level 1 Approvers are authorized to sign EFT requests associated with their Org Code up to $10,000
Level 2 Approvers are authorized to approve all EFT requests associated with their Org Code
Directions to find approvers:
 Sign into RIAS
 Click ‘RU Internet Procurement’
 Click ‘Requisition Hierarchy by Approver or Organization’
 Go to the Approver drop down menu and select Organization
 Enter the Org Code used for the EFT request
 Click ‘Match case’
 Click ‘Search’
 A list of qualified approvers and their approval level for the org code specified will populate
Revised 1/16