Payment Reconciliation Form

Submit a payment reconciliation request for approval. This will initiate a human-in-the-loop approval process.

Request Details

Requester Name

Name of the person submitting this reconciliation request

Contact Email

Email address for updates on this request

Payment Service

Select the payment service that requires reconciliation

Select Authorisers

Select one or more authorised signatories for this service

Number of Items

Total number of payment items in this batch

Total Payment Value

Total value of all payments (£)

Comments (optional)

Any additional information or special instructions for the authorisers

Cancel