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Accounts
Payable Forms
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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 |
| * I understand I am not an employee of California State University, Northridge, and I am not eligible for workers' compensation benefits provided by California State University, Northridge. |
Signature of Payee: _______________________________ |
Date: __________ |
| Attachment: Vendor Data Record Form |