NelNet QuikPay Access Request form | Application for Noncredit Online Registration

Section 1: Applicant Information

Branch Name

Select Revenue Account

G/L Account String

G/L account string example:
XXX-XXXX-XXXX-XXXX-XXX-XXXX-XXXXX-0000-000-00000-000000
Unit[3]-Division[4]-Organization[4]-Location[4]-Fund Type[3]-Business Line[4]-Account[5]

GL Account String

2cd GL Account String

3rd GL Account String

Project String Account

Project account string example:
XXXXXX-XXX-EXTXXXXXX-XXXXXX-XXXXX-000000-External
ProjectNumber [6]-TaskNumber [3]-Contract Number[EXT +6]-Contract Line Number (same as Project Number) [6]-Account[5]

Project Account String

2nd Project Account String

3rd Project Account String

NOTE: You must follow the proper Chart of Accounts segment structure or your request will be returned for more information. Please select the Revenue Account Type and use the examples to fully define your G/L or Project String account in the fields provided.

You may enter up to 3 accounts. For additional accounts, please contact the ANCOR help desk - ancorhelp@docs.rutgers.edu

Section 2: Employee Information

First

Last

Access Type

Section 3: Administrative User Information

Phone Number

Email Address

Employee Class

Section 4: Applicant Review and Approval

Applicant Digital Signature

Branch Admin Digital Signature