CSE Vendor Questionnaire

CSE Vendor Questionnaire
The information collected via this form is used by the Center for Student Engagement to help determine what documentation will be required to pay a given external vendor, per MICA's Independent Contractor policies and procedures. If you have any questions or concerns, please reach out to your CSE contact directly.
Who is your contact person in the Center for Student Engagement?*
Name*
First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Mailing Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Are you performing services as an individual or a business entity?*
IndividualBusiness
Business Name*
Are you a current MICA employee or student?*
YesNo
Have you worked for/at MICA in the past (including any paid student positions)?*
YesNo
Have you been paid by MICA within the last calendar year?*
YesNo
Are you a US citizen, permanent resident, or treated as a "resident alien" for tax purposes?*
YesNo
Will you be performing your services from outside of the United States?*
YesNo
A completed W-8 form is required for payment, and is used to establish a payee’s status for income tax withholding purposes. Please let us know which W-8 form is most appropriate based on your foreign status. See form details below if needed.*
W8-BEN (most common)W-8BEN-EW-8ECIW-8EXPW8IMYOther
W-8 Form Types
Brief descriptions of the W-8 form types are below, but you are welcome to consult the IRS website for more information. If none of these forms are appropriate for your foreign status, please select "Other" and reach out to your CSE contact to discuss.
W-8BEN Certificate of Foreign Status of Beneficial Owner for United States Tax Withholding and Tax Reporting (Individuals)
The form is used by foreign individuals to document foreign status for tax withholding purposes, or to claim treaty benefits. Most foreign individuals complete Form W-8BEN. For example, a foreign national individual would complete this form if s/he was receiving honorarium payments from MICA.
W-8BEN-E Certificate of Status of Beneficial Owner for United States Tax Withholding and Reporting (Entities)
This form is used by foreign entities to document foreign status for tax withholding purposes, FATCA status, or to claim tax treaty benefits. For example, a foreign entity would complete this form if it is receiving any payment from MICA (such as royalties) thatis not effectively connected with the conduct of trade or business within the United States.
W-8ECI Certificate of Foreign Person’s Claim that Income is Effectively Connected with the Conduct of a Trade of Business in the United States
This form certifies that the foreign payee has a trade or business in the United States effectively connected with the income payment being paid. For example, a foreign corporation would complete this form if it is receiving payment from MICA for services (such as consulting) rendered in the United States and the payment is effectively connected with the foreign corporation’s conduct of a trade or business within the United States.
W-8EXP Certificate of Foreign Government or Other Foreign Organization for United States Tax Withholding
This form is used by foreign governments, international organizations, foreign central banks, foreign tax exempt organizations or foreign private foundations claiming exemption from withholding or reduced rate of withholding. For example, a foreign government would complete this form if it is receiving an honorarium payment MICA for speaker- services performed.
W-8IMY Certificate of Foreign Intermediary, Foreign Flow-Through Entity, or Certain U.S. Branches for United States Tax Withholding and Reporting
This form is used when a foreign entity is either an intermediary notacting for its own account or is a fiscally transparent entity, either for U.S. income tax purposes or for income tax purposes in its resident country, such as a foreign trust or foreign partnership. For example, a foreign entity would complete this form if it is receiving a payment for services onbehalf of others (partners or trustees) as a flow-through entity.
What is your preferred method of payment? (See below for more information.)*
CheckACH Transfer (requires a US bank account)I do not have a US bank account and/or cannot accept these payment types.
Payment Types
Check: Payment will be made out to the vendor and sent to the mailing address provided.
Automated Clearing House (ACH) Transfer: ACH Transfers allow MICA to send payments electronically and deposit funds directly to a domestic bank account. This method requires vendors to provide their bank’s routing number and account number via an ACH Information Request Form, which will need to be verified via phone prior to payment. Please note that, at this time, we do not have the ability to pay foreign banks via ACH; it can only be used for domestic U.S. banks.
If you are unable to accept either of these payment options, please indicate that above and reach out to your CSE contact to discuss. In extenuating circumstances (such as if a vendor does not have a US bank account and/or the ability to cash a US check), MICA may be able to issue a wire transfer. We are unable to issue payment for services in the form of cash or other electronic transfer services (Venmo, PayPal, etc.).
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CSE Vendor Questionnaire

W-8 Form Types

Payment Types