Universal Payment Packet

Florida Youth Soccer Universal Payment Packet

Instructions for Filling Our Universal Payment Form

Payments can take up to 14-21 days to process. Please note that incomplete and inaccurate submitted forms can further delay payment processing.

Please be sure to fill in the following information:

Choose the correct event
Date
Location
Select the category needing payment
ACH form on Page 2
W9 Form on Page 3 (This is a PDF file that will require downloading and uploading to complete the universal payment packet.)

If you are a club requesting field use, include:

If you are an Athletic Trainer:

If you are a Referee Assignor:

If you are a Referee:

Each event weekend needs to be a separate submission of this form

**Not providing all necessary information or submitting incorrect details will necessitate the form’s resubmission and lead to payment delays.**

Select an Event *

Game Number *

Date and Time of the Event *

Date

Time

Location of the Event *

Payment For *

If for Coaching/ODP, please specify *

Person or Club To Be Paid (Your Name): *

Breakdown/Supporting Details of Amount Due *

Tournament Director

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Additional Information, Notes, or Comments:

Amount Due *

Bank Name *

Routing Number *

Account Number *

Signature of Primary Account Holder *

Is your banking information above new? *

W9 Upload *

W9 form – https://www.fysa.com/wp-content/uploads/sites/224/2023/12/fw9.pdf