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Accounts Payable Forms
Accounts Payable
Tel No (818) 677-3472
Fax No: (818) 677-4581
Mail Drop: 8202
Student Stipend Form
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Please process a student stipend (non-compensatory) for the program in the amount of $ .
The student information is as follows:
Name:   Home Address:
Student ID:   Student Email Address:
RESIDENCY STATUS: (Mandatory - Check one only)
* U. S. Citizen * Resident Alien (Green-card holder) ** Foreign National
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Please use the following chartfield string:
REQUISITION NO:
ACCOUNT:
FUND:
DEPT ID:
PROGRAM:
CLASS:
PROJECT/GRANT:
AMOUNT:
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Name of Authorized Approver:  
Signature: ______________________________________ Date: __________
Print Name: Ext: __________
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* Stipends are reportable income for which a FORM 1099 will be issued.
** 14% withholding will be required. Form 1042-S will be issued.
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Signature of Payee: _______________________________ Date: __________
Attachment: Vendor Data Record Form