Enroll in QuikPAY | Controller's Office | Case Western Reserve University

To be enrolled in the QuikPAY® application, please complete the following form. All information is required. An email receipt of the information submitted will be emailed to the person designated as the Primary Contact. Once the enrollment has been reviewed, you will be contacted with instructions on how to proceed.

Quikpay Enrollment

Do you need to modify an existing QuikPAY account or is this a request for a new QuikPAY account?

New account

Modify existing account

Additional Information for Account Modification

Account Name/orderType

Enrollment Details

Department ID

Department Name

Primary Contact Name

Primary Contact Email

Primary Contact Phone

Purpose for accepting credit cards

Transaction Details

Anticipated number of transactions per year

Anticipated volume of transaction per year

Average amount per transaction

Type of Transaction

CSR (Staff input)

Self-Service (User input)

Both

Accounting Details

Speedtype for fees

Account for fees

Speedtype(s) for income

Account(s) for income

Person Responsible for Reconciliation

Person Responsible for Refunding Credit Cards

Phone number for Refunding Credit Cards

I agree to the terms of service.

Under no circumstances may credit card payments representing private contributions or gifts to Case Western Reserve University be processed by an individual department. All such items must be send to Advancement Services in order to ensure that the donor receives the appropriate acknowledgement and tax documentation. Failure to comply with this requirement may result in the revocation of your department's credit card processing capability.

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.