Certification Of Academic Activity Form - University Of California
Download a blank fillable Certification Of Academic Activity Form - University Of California in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Certification Of Academic Activity Form - University Of California with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1IMPORTANT: To protect your privacy, use the "Reset Form" button at the bottom of the page when you are finished.
University of California
____________________
(Campus or Laboratory)
Certification of Academic Activity
The American Competitiveness Workforce Act of 1998 allows payment of honoraria and associated travel and incidental
expenses to B-1, B-2, WB, and WT visa holders for "usual academic activity," if paid by an institution of higher education, a
nonprofit organization affiliated with an institution of higher education, or a nonprofit or a governmental research organization.
In accordance with the immigration law, the University may make payment of honoraria and travel and incidental expenses to B-
1, B-2, WB, and WT visa holders under the following requirements:
PAYMENT REQUIREMENTS:
Honoraria
B-1, B-2, WB, and WT visa holders may be paid an honorarium for usual academic activity not exceeding nine days in duration,
provided that such individual has not received honoraria from more than 5 educational institutions in the previous six-month period.
Travel and Incidental Expenses
B-1 and WB visa holders may be reimbursed for reasonable travel and incidental expenses incurred in connection with a usual
academic activity, regardless of the duration of the activity and regardless of whether the individual has previously received
payment from other educational institutions.
B-2 and WT visa holders may be reimbursed for reasonable travel and incidental expenses incurred in connection with a usual
academic activity not exceeding nine days in duration, provided that such individual has not received travel and incidental expenses
from more than 5 educational institutions in the previous six-month period.
VISITOR INFORMATION:
Last Name: __________________________________________ First Name: __________________________________________
Social Security Number or Individual Taxpayer Identification Number: _________________________________________________
(In order to receive an honorarium payment you must have a Social Security Number or an Individual Taxpayer Identification
Number).
What type of payment will you be receiving?
Honorarium
Travel and Incidental Expenses
Both
Enter the visa classification under which you are currently present in the United States: ___________________________________
The dates of my activity at the University of California will be from: _________________________to ________________________
Please indicate the type of activity you will be engaged in while at the University:
Guest lecturer
Conference participant
Researcher
Other: If other, please describe: ______________________________________________________________
ACKNOWLEDGEMENT AND CERTIFICATION:
I have accepted an invitation by the University of California for the purpose of engaging in a usual academic activity. I
acknowledge I will receive an honorarium payment and/or reimbursement of travel and incidental expenses for my academic
activity in accordance with the above payment requirements.
I certify that the information I have provided on this form is to the best of my knowledge and belief, true and complete.
Sign here after the form is printed.
06/29/05
Signature of Nonresident Alien: _______________________________________________________Date: __________________
Click Here to Print
Revised 01/01/02
Reset Form
IMPORTANT: To protect your privacy, use the "Reset Form" button when you are finished.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Ftb 1063a - Questionnaire Regarding Activities In California - State Of California Franchise Tax Board
Financial
Form 3 - Certification Of Out-of-state Licensure And Examination Grades - The State Education Department, The University Of The State Of New York
Legal
Related Categories
Parent category: Business