{"id":7195,"date":"2023-11-10T10:07:17","date_gmt":"2023-11-10T15:07:17","guid":{"rendered":"https:\/\/henryjaustin.org\/?page_id=7195"},"modified":"2023-11-15T10:18:34","modified_gmt":"2023-11-15T15:18:34","slug":"finance-request","status":"publish","type":"page","link":"https:\/\/henryjaustin.org\/es\/finance-request\/","title":{"rendered":"solicitud de financiaci\u00f3n"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div class=\"webique_vc_row_wrap webique_general_colors\"><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><span class=\"TextRun SCXW166703111 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW166703111 BCX0\">Please <\/span><span class=\"NormalTextRun SCXW166703111 BCX0\">complete and <\/span><span class=\"NormalTextRun SCXW166703111 BCX0\">submit<\/span><span class=\"NormalTextRun SCXW166703111 BCX0\"> th<\/span><span class=\"NormalTextRun SCXW166703111 BCX0\">e<\/span><span class=\"NormalTextRun SCXW166703111 BCX0\"> form<\/span><span class=\"NormalTextRun SCXW166703111 BCX0\"> below<\/span><span class=\"NormalTextRun SCXW166703111 BCX0\"> to the Finance Department.\u00a0<\/span><span class=\"NormalTextRun SCXW166703111 BCX0\">If you have multiple requests, please <\/span><span class=\"NormalTextRun SCXW166703111 BCX0\">submit<\/span><span class=\"NormalTextRun SCXW166703111 BCX0\"> a new form for each.<\/span><span class=\"NormalTextRun SCXW166703111 BCX0\">\u00a0<\/span><span class=\"NormalTextRun SCXW166703111 BCX0\">Your request will be directed to the <\/span><span class=\"NormalTextRun SCXW166703111 BCX0\">appropriate department<\/span><span class=\"NormalTextRun SCXW166703111 BCX0\"> for processing. We will make every effort to respond to your inquiry as promptly as possible.<\/span><\/span><span class=\"EOP SCXW166703111 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><span data-contrast=\"none\">A member of our team will follow up with you regarding the request you submitted.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><\/div><div class=\"webique_vc_row_wrap webique_general_colors\"><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar 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d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_36' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_36'  action='\/es\/wp-json\/wp\/v2\/pages\/7195' data-formid='36' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_36' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_36_17\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Request Details:<\/h3><\/div><fieldset id=\"field_36_3\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Turnaround Time Expectations:<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_36_3'>\n\t\t\t<div class='gchoice gchoice_36_3_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='Standard TAT: 5-7 days'  id='choice_36_3_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_3_0' id='label_36_3_0' class='gform-field-label gform-field-label--type-inline'>Standard TAT: 5-7 days<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_3_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='Urgent: 2 days'  id='choice_36_3_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_3_1' id='label_36_3_1' class='gform-field-label gform-field-label--type-inline'>Urgent: 2 days<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_36_19\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Urgency:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_36_19'>\n\t\t\t<div class='gchoice gchoice_36_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='High Priority'  id='choice_36_19_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_19_0' id='label_36_19_0' class='gform-field-label gform-field-label--type-inline'>High Priority<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Medium Priority'  id='choice_36_19_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_19_1' id='label_36_19_1' class='gform-field-label gform-field-label--type-inline'>Medium Priority<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_19_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Low Priority'  id='choice_36_19_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_19_2' id='label_36_19_2' class='gform-field-label gform-field-label--type-inline'>Low Priority<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_36_23\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_36_23'>Need Response from Finance Team By:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_23' id='input_36_23' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_36_23_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_36_23_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_36_23' class='gform_hidden' value='https:\/\/henryjaustin.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_36_4\" class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_36_4'>\n                            \n                            <span id='input_36_4_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_4.3' id='input_36_4_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_36_4_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_36_4_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_4.6' id='input_36_4_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_36_4_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_36_5\" class=\"gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_36_5'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_36_5' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_36_6\" class=\"gfield gfield--type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_36_6'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_36_6' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_36_7\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_36_7'>Department<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_36_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_36_26\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><b>Please only select ONE appropriate category for your request.<\/b><br><em>If your desired option is not listed, choose \"Other\" and enter your request. <\/em><\/div><fieldset id=\"field_36_8\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Category<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_36_8'>\n\t\t\t<div class='gchoice gchoice_36_8_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='General Ledger: Reconciliation Schedule'  id='choice_36_8_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_8_0' id='label_36_8_0' class='gform-field-label gform-field-label--type-inline'>General Ledger: Reconciliation Schedule<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_8_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='General Ledger: Reports'  id='choice_36_8_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_8_1' id='label_36_8_1' class='gform-field-label gform-field-label--type-inline'>General Ledger: Reports<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_8_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='General Ledger: Presentation'  id='choice_36_8_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_8_2' id='label_36_8_2' class='gform-field-label gform-field-label--type-inline'>General Ledger: Presentation<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_8_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='General Ledger: Certifications'  id='choice_36_8_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_8_3' id='label_36_8_3' class='gform-field-label gform-field-label--type-inline'>General Ledger: Certifications<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_8_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='General Ledger: EIN\/TIN'  id='choice_36_8_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_8_4' id='label_36_8_4' class='gform-field-label gform-field-label--type-inline'>General Ledger: EIN\/TIN<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_8_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Accounts Payable: Payment Inquiry'  id='choice_36_8_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_8_5' id='label_36_8_5' class='gform-field-label gform-field-label--type-inline'>Accounts Payable: Payment Inquiry<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_8_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Accounts Payable: Microix Support'  id='choice_36_8_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_8_6' id='label_36_8_6' class='gform-field-label gform-field-label--type-inline'>Accounts Payable: Microix Support<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_8_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Accounts Payable: New Vendor Setup'  id='choice_36_8_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_8_7' id='label_36_8_7' class='gform-field-label gform-field-label--type-inline'>Accounts Payable: New Vendor Setup<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_8_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Accounts Payable: Address Change'  id='choice_36_8_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_8_8' id='label_36_8_8' class='gform-field-label gform-field-label--type-inline'>Accounts Payable: Address Change<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_8_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Accounts Payable: Tax Exempt Form'  id='choice_36_8_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_8_9' id='label_36_8_9' class='gform-field-label gform-field-label--type-inline'>Accounts Payable: Tax Exempt Form<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_8_10'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Account Receivable: Account Receivable Inquiry'  id='choice_36_8_10' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_8_10' id='label_36_8_10' class='gform-field-label gform-field-label--type-inline'>Account Receivable: Account Receivable Inquiry<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_8_11'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Treasury: Check Copy Request'  id='choice_36_8_11' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_8_11' id='label_36_8_11' class='gform-field-label gform-field-label--type-inline'>Treasury: Check Copy Request<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_8_12'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Grants: Coding Invoice Assistance'  id='choice_36_8_12' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_8_12' id='label_36_8_12' class='gform-field-label gform-field-label--type-inline'>Grants: Coding Invoice Assistance<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_8_13'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Grants: Budget Control Sheet'  id='choice_36_8_13' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_8_13' id='label_36_8_13' class='gform-field-label gform-field-label--type-inline'>Grants: Budget Control Sheet<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_8_14'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Grants: Internal Budget'  id='choice_36_8_14' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_8_14' id='label_36_8_14' class='gform-field-label gform-field-label--type-inline'>Grants: Internal Budget<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_8_15'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Revenue Cycle: Medical'  id='choice_36_8_15' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_8_15' id='label_36_8_15' class='gform-field-label gform-field-label--type-inline'>Revenue Cycle: Medical<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_8_16'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Revenue Cycle: Dental'  id='choice_36_8_16' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_8_16' id='label_36_8_16' class='gform-field-label gform-field-label--type-inline'>Revenue Cycle: Dental<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_8_17'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Revenue Cycle: Report Request'  id='choice_36_8_17' 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field_validation_below gfield_visibility_visible\"  ><!DOCTYPE html>\n<html lang=\"en\">\n\n<head>\n    <meta charset=\"UTF-8\">\n    <meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n    <title>New Vendor Set-Up<\/title>\n<\/head>\n\n<body>\n\n    <h1>NEW VENDOR SET-UP<\/h1>\n\n    <p>Establishing a new Vendor? Please ensure you have secured and sent the following information to the Accounts Payable team of the financial department.<\/p>\n\n    <ul>\n        <li>Completed Vendor W-9 Form<\/li>\n        <li>Vendor Contact Name<\/li>\n        <li>Payment Terms (Suggested 45+ Days)<\/li>\n        <li>Vendor Contact Name<\/li>\n        <li>Vendor Contact Phone Number<\/li>\n        <li>Vendor Contact Email Address<\/li>\n        <li>Payment Method (ACH Preferred)<\/li>\n        <li>Completed ACH Letter & Form (If Applicable)<\/li>\n   <li>HJAHC Staff Point of Contact<\/li>\n    <\/ul>\n\n    <p>Please return this information to the team at the following email address: <a href=\"mailto:apsupport@henryjaustin.org\">apsupport@henryjaustin.org<\/a><\/p>\n\n    <p><strong>Thank You,<\/strong><br> Finance Team<\/p>\n\n<\/body>\n\n<\/html>\n<\/div><div id=\"field_36_42\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below 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