Billing Code Request

The DPPS billing staff will process your information and email you when your new DPPS code is enabled in our ordering system.

Use DPPS Code “TEMP” if you have a rush order while we process your request. Please reference the requesting contact or billing contact in special instructions when placing your order.

Billing Code Request

Fill out this form to have a DPPS Code created with your associated billing information.

Requester Contact Information
Fill out the contact information of the person filling out this form.
Name*
First Last
Address
Street Address Address Line 2 City State ZIP Code
Email*
Enter Email Confirm Email
Phone*
Billing Contact
Enter in the contact information for the person responsible for the Billing Content. This person will receive all invoices and/or billing communication.
Company Name*
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Enter Email Confirm Email
Phone*
Billing
Fill the billing code details below.
DoIT Number
Fund Number

Three Digits
Project ID

Seven characters (Alphanumeric)
Business Unit Code
Department ID

Six Digits
Activity Code

One Digit
Special Instructions
Phone
This field is for validation purposes and should be left unchanged.

Billing Code Request

Requester Contact Information

Billing Contact

Billing