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UUHSC Online Check Request

University Hospital Accounts Payable Department

The Online Check Request simplifies the process by:

  1. Providing the Check Request forms through an easily accessible internet web link.
  2. Allowing you to enter your information into the interactive .pdf form from your desktop.
  3. Adding printing capabilities.

When the form is completed, print and mail a copy to:

University of Utah Hospital
Accounts Payable Department
Ambassador Bldg.
127 South 500 East, #200
Salt Lake City, UT 84102