Non-US Resident Payee Statement
We are very excited to welcome you to the University of Puget Sound!

Instructions: Complete the following form and click the submit button at the end of the form to ensure we have the correct information to process any payments you may receive. 

Please note this it is your responsibility to ensure you may accept payment for honoraria or travel reimbursements while staying in the US. In other words, you should check that you may accept payments for honoraria or travel reimbursements while on the visa you have or will have while you are visiting Puget Sound).
Email *
Full Name
First, Middle, Last
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Country of Citizenship
*
Country of Current Legal Permanent Residence
*
Permanent Mailing Address in Country of Residence
Current (or intended) visa status in the US (e.g. B-1, Visa Waiver, J-1, TN)
Please list the visa you are on, or plan to enter the US on, for your visit to Puget Sound. It is your responsibility to determine if you are permitted to accept an honorarium or travel reimbursement payment based on your current (or proposed) visa status. Please see our website for more information on visa types and honorarium rules.
*
If you will be in the US on a B-1 or B-2 visa or are from a Visa Waiver country, does this visit to Puget Sound fit within the 9/5/6 rule?  The 9/5/6 Rule is defined as: the activity does not last longer than 9 days at any single institution and the visitor cannot accept honorariums or expense reimbursements from more than 5 institutions in the previous 6-month period *
Would you be considered a US resident for tax purposed during your visit to Puget Sound? 
Please refer to the Substantial Presence Test to determine your answer to this question. Contact Finance@pugetsound.edu if you need assistance completing this form. 
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Do you have a Social Security Number (SSN) or an Individual Tax Identification Number (ITIN)?
*
Which of the following forms of payment do you prefer? *
If you have selected wire transfer as your preferred payment method please provide the following information:

- Bank Name

- Account Holder’s Name

- Bank Account # or International Bank Account Number (IBAN)

- SWIFT Code

A copy of your responses will be emailed to .
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