Stipend / Scholarship Vendor Form

To be completed by Recipient (recipient acceptance required)

Name of Recipient:

Tax Documents &
Direct Deposit slips
will be mailed to
this address.
Recipient is a:
  • :  
Select the country of which the recipient claims residency under that country's tax laws.
Payment Method
- Stipend "S" vendor number
- Scholarship "T" vendor number, must meet the requirements of the USRA program to qualify. Program not available to non-resident aliens or high school students.
- S & T vendor numbers

I understand that stipend/scholarship payments are subject to IRS regulations and may be reported to the IRS as taxable income. I selected the address to where the 1099, 1042-S, or scholarship letter will be sent if required. Indicate acceptance of this appointment by selecting "I agree" below and clicking the "Submit" button. No payments will be issued until this form is complete including acceptance of this agreement by the recipient.