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ATLAS INVOICE – TESTING
Step
1
of
2
50%
Please submit invoices between the hours of 7 AM and 8 PM Central Time. Otherwise we cannot guarantee that invoices will be successfully captured and processed.
Submitter Information
This is the person submitting the invoice - which may be the same or different from the PAYEE.
Date of Submission
*
MM slash DD slash YYYY
Your Name
*
Please do not use all capital letters on this form - thank you!
First
Last
Your Email
*
Enter Email
Confirm Email
Your Phone
*
Payee Information
The PAYEE is the individual or organization to whom the check will be written. PLEASE NOTE: We cannot pay you unless you have a current Form W-9 on file with Hamline. Please see the
Submit Invoice
page for information and instructions.
Are you submitting this invoice on behalf of another person or organization (NOT yourself) that should receive the payment?
*
Yes; please pay the ORGANIZATION/PROGRAM or person indicated below.
No; I am the payee and should personally receive this payment.
Name of PAYEE (who will receive the payment)
*
Email of PAYEE (who will receive the payment) or payee's representative
*
Enter Email
Confirm Email
Address of PAYEE (who will receive the payment)
*
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Is this a new/updated address for this PAYEE?
*
If YES, then a Form W-9 must be submitted. Find instructions in the "Invoice & W-9 Instructions" box on the right-hand side above.
YES - and I will submit an updated Form W-9 with the correct address.
No
Unsure
Is the PAYEE an employee of Hamline University?
*
No, the payee is not employed by Hamline
Yes, the payee is Hamline staff
Yes, the payee is Hamline regular faculty
Yes, the payee is Hamline adjunct faculty
Has the PAYEE ever been paid by ATLAS / Hamline University previously?
*
If NO, then a Form W-9 must be submitted. Find instructions in the "Invoice & W-9 Instructions" box on the right-hand side above.
Yes
No - and I will submit a Form W-9.
A) Mileage Reimbursement
Fill out if applicable. NOTE: Mileage only reimbursed for trips of 50 miles or more one-way.
Do you have mileage to claim?
*
Yes
No
In which calendar year(s) did the trip(s) take place?
*
2024
2025
2024 TRIP INFORMATION - ALL boxes are required (claim BOTH one-way trips!)
*
NOTE: Click PLUS SIGN to enter your RETURN TRIP; be sure to claim BOTH one-way trips!
Travel Date (mm/dd/yy)
Reason for Travel (e.g., North Regional)
From (city)
To (city)
Miles (ONE-WAY)
AMOUNT
2025 TRIP INFORMATION - ALL boxes are required (claim BOTH one-way trips!)
*
NOTE: Click PLUS SIGN to enter your RETURN TRIP; be sure to claim BOTH one-way trips!
Travel Date (mm/dd/yy)
Reason for Travel (e.g., North Regional)
From (city)
To (city)
Miles (ONE-WAY)
AMOUNT
Screenshot of map showing one-way mileage:
*
Please upload a screenshot from a map site (such as Google Maps) showing the one-way mileage for this trip. NOTE: Be sure to claim BOTH one-ways trips above!
Get help downloading a map >>
Max. file size: 128 MB.
Number
Total Mileage Reimbursement
*
(automatic calculation)
B) Reimbursable Expenses (receipts required)
Fill out if applicable. Examples include hotel, airfare, supplies, photocopies, etc. NOTE: Meals are usually NOT reimbursable; please check first with ATLAS staff.
EXPENSE INFORMATION - ALL boxes are required
(Click PLUS SIGN to add more rows)
Date(s) of Expense
Description/Reason for Expense
Amount $
UPLOAD RECEIPTS
* DO NOT UPLOAD YOUR W-9 here. Find instructions in the "Invoice & W-9 Instructions" box above. * A RECEIPT IS REQUIRED FOR EACH EXPENSE. Multiple receipts may be uploaded.
Drop files here or
Select files
Max. file size: 128 MB.
Total Expense Reimbursement
(automatic calculation)
C) Stipends / Contract Payments
Fill out if applicable. Examples include presenter/facilitator fees, cohort participant stipends, study circle participant stipends, contract work, etc.
PAYMENT INFORMATION - ALL boxes are required
(Click PLUS SIGN to add more rows)
DATE(s) of Activity
Description of Activity / Reason for Payment
Amount $
Total Stipend/Contract Payments
(automatic calculation)
ELECTRONIC SIGNATURE & INVOICE SUBMISSION
Please check to make sure all required information is included. Thank you!
Do you have any special instructions or comments regarding this invoice?
TOTAL PAYMENT
*
(automatic calculation) If the total is zero, enter your expense(s) on the previous page.
ELECTRONIC SIGNATURE: By typing my initials below, I certify that all information submitted herein is accurate and truthful.
*
MILEAGE REMINDER: Did you claim BOTH one-way trips? (instructions are above)
YOU WILL RECEIVE A CONFIRMATION EMAIL AFTER SUBMITTING THIS INVOICE. If you do not receive a confirmation email, your invoice did not go through.
Please check for a confirmation email; if you do not receive it within 2 minutes, your invoice was not received by ATLAS.
*
I understand.
