Electronic Payment (ePay) Application

Establish a new electronic payment as a method for collecting state cash receipts.

Departments must have an approved fee request form on file prior to establishing an electronic payment. 

Complete University Fee Approval Request form.

Instructions

  • Department is using e-payment as a method for collecting state cash receipts
  • Complete the on-line application below
  • Click on the submit button to send form electronically to Accounting Services
  • Financial Management will review the application and contact the person noted on application for set up information
  • Does not accept Research Foundation (RF), Faculty Student Association (FSA) or University at Buffalo Foundation (UBF) receipts

Department Contact Information

 
(Required)
@buffalo.edu
 
 
xxx-xxx-xxxx
 
 
 
@buffalo.edu
 
Authorization for adding item to ePay will be confirmed with this individual

Payment Processing Information

 
Funds collected for this item to be deposited here
Is this a graduate application fee?
Is this a graduate application fee?
 
 
 
 
 
($.20 per transaction)

Setup Individuals with access to Activate Fee, Update Data, Update Text

Person #1

 
 

Person #2

 
 

Person #3

 
 

Person #4

 
 

Person #5

 
 

Person #6

 
 

Person #7

 
 

Person #8

 
 

Setup Individuals to View Transactions via e-Pay Viewer

Person #1

 
 

Person #2

 
 

Person #3

 
 

Person #4

 
 

Person #5

 
 

Person #6

 
 

Person #7

 
 

Person #8

 
 

General Product or Service Information

 
Does the department maintain its own system for recording and tracking sales that will need to be updated by the online payment system?
Does the department maintain its own system for recording and tracking sales that will need to be updated by the online payment system?
 
 
 
 
Was this fee/item previously billed through Student Accounts?
Was this fee/item previously billed through Student Accounts?
 
 
 
Should payment options be restricted to a particular group of individuals (i.e. only students admitted to the University may make this payment)?
Should payment options be restricted to a particular group of individuals (i.e. only students admitted to the University may make this payment)?
 
 
 
 

Detailed Product or Service Information

(Required)
(Required)
 
(Required)
eg. $123.55

* Complete approved Fee Approval Request  form and attach

 
Would you like the user to accept a product agreement before making payment?
Would you like the user to accept a product agreement before making payment?
 
 
 
 
Does the user need to select a semester to apply this payment?
Does the user need to select a semester to apply this payment?
 
 
 

Customer Processing Information

Choose Customer Field Options (Check all that apply)
Choose Customer Field Options (Check all that apply)
 
 
 
 
 
 
 
 
Would you like to collect an additional identifier that can be specifically defined for this payment?
Would you like to collect an additional identifier that can be specifically defined for this payment?
 
 
 
 
Is this field required for this payment?
Is this field required for this payment?
 
 
 
 
eg Thank you for your payment.

This application was completed by:

 
Authorized Dept Representative
 
eg 9/12/2014
(Required)

Need Help Completing the Form?

Diane Walton.

Diane Walton

IFR, Revenue Accounting and Treasury Management

Financial Management

Phone: 716-645-2603

Email: dwalton@buffalo.edu

Form Facts

Form Type: Submit by email ( HTML)

Requirements:  None

Updated:  9/2014

Owner:  Financial Management