Lockbox Request
Is this request for a New Lockbox?
Yes
No
CONTACT DETAILS
University ID
Email
NEW LOCKBOX DETAILS
Account Purpose
Business Reason
Volume Per Month
Estimated $$ Per Month
Average Deposit
Goal Date for Implementation
FAU Expenses
Attach Cost Analysis
LOCKBOX MAINTENANCE DETAILS
Description
Bank Name
Account Number (
Last 4 digits
)
reCAPTCHA helps prevent automated form spam.
The submit button will be disabled until you complete the CAPTCHA.
Need assistance with this form?