Capital Disbursement Request

  • Step-by Step

    1. Download a Form W-9, complete and sign the document.
    2. (optional)Do you want this deposited direct to your bank account? Download an ACH form.
    3. Complete this Capital Disbursement Request form. Remember to upload your W-9 (even if we already have one), and an ACH if you are choosing direct deposit.
    4. Click Submit- you're done! Expect your check or direct deposit within two weeks.
  • Personal Information

  • Disbursement Information

    Use this section to indicate the amount you would like to receive, and give a brief description of how you intend to use the funds (college tuition, books, prototyping, business, etc.)
  • Uploads

    You must submit a W-9 with your request. The ACH form is an optional form required only if you would prefer your funds to be deposited directly to your bank account. If you do not submit an ACH, then a paper check will be mailed to the address supplied above.
  • Drop files here or
    Accepted file types: pdf, jpg, gif, png, txt.