Payment Requests

Please use the form below to submit your payment request. Please note all final amounts are subject to approval by your Nexus contact.

For specific payment terms, please consult with your agreement or Nexus contact. Unless otherwise noted, payments are generally processed once a month around the 20th.

Submission Type

Requested By

Company (if third party or receipt)

Invoice/Receipt Amount

Are you attaching an invoice?

Yes

Invoice/Receipts

No Choosen File

Invoice Items and Amount

Today's Date

Payment Method

Payment Information included on invoice

Use last known payment method

ACH/Wire/Bank Transfer

Paypal

Zelle

Your Paypal Address

Name on Zelle Account

Zelle Phone or Email

Name on Bank Account

Bank Name

Address As Listed At Your Bank

Bank Sort/IBAN (if an non-US account)

Bank Routing Number (US accounts)

Bank Account Number (US accounts)