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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

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  

 

LINE

Please use the following chartfield string:
REQUISITION NO:
ACCOUNT:
FUND:
DEPT ID:
PROGRAM:
CLASS:
PROJECT/GRANT:
AMOUNT:

Name of Authorized Approver:  
Signature: ______________________________________ Date: __________
Print Name: Ext: __________
LINE
* Stipends are reportable income for which a FORM 1099 will be issued.
** 14% withholding will be required. Form 1042-S will be issued.