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If you have questions about the collection and use of Social Security numbers at UF, please visit: [http://privacy.ufl.edu/SSNPrivacy.html](http://privacy.ufl.edu/SSNPrivacy.html)  \nName   Taxpayer ID Number (SSN or EIN)   Business Name (DBA)  Date of Birth   Address    \nCity   State   Zip    \nPayment type (Please select/checkmark method): ACH (Direct to your bank) EPayables  \nExpenditure type:  \n\n| For these expenditure types, skip to Part 4 of this form. If none of these apply, continue to part 2. |  |  |  |\n| --- | --- | --- | --- |\n| 􀀁 Guest Speaker | 􀀁 Human Subject-HSP | 􀀁 Exam Proctor | 􀀁 Royalty |\n\nPart 2-Tax Status:  \n􀀁 Individual – If the supplier is a current UF employee, provide UFID, current job title and a brief description of the current UF job  \nUFID:   Title:   Duties:    \nDuties (describe or attach a copy of the current job description):  \n_________________________________________________________________________________________________________________  \n􀀁 Sole Proprietor (or an LLC with one owner)– The Taxpayer ID Number listed above must match the name given on the “Name” line to avoid backup withholding.  \n􀀁 Partnership (or an LLC with multiple owners)  \n􀀁 Corporation or tax exempt entity  \nPart 3 – Employee/Independent Contractor Determination for services provided: (Attach any supporting documentation to the form)  \n1. Briefly describe the work/service to be provided (include a copy of any contract, memorandum of understanding or scope of services, etc.):  \n_______________________________________________________________________________________________________________  \n\n| 2. | Are you a former UF employee?  No  Yes If yes, will the proposed work/service be the same or similar to the work you performed while a UF employee?  No Yes If yes, approximate date of termination: |\n| --- | --- |\n| 3. | Does the work/service involve teaching of students?  No  Yes If yes, the course is  for degree credit  not for degree credit ([http://www.aa.ufl.edu/Data/Sites/18/media/policies/independent_contractors_policy.pdf](http://www.aa.ufl.edu/Data/Sites/18/media/policies/independent_contractors_policy.pdf)) |\n| 4. | When will the work/service be performed? Start Date:   End Date:  \u003Cbr>Frequency/Duration:   |\n| 5. | Where will the work/service be provided (from home, UF-provided workspace/office, etc. )? |\n\n6. What training, instruction, and supervision will be provided by UF regarding the proposed work/service? (Please describe. )  \n\n| 7. Will UF provide supplies, equipment, materials, or tools to accomplish the work/service? No | Yes(Please describe.) |\n| --- | --- |\n\n______________________________________________________________________________________________________________  \n8. Do you perform similar work/service for other clients or customers in a business capacity?  No  Yes  \nFA-UDS-VTIF  \n9. Will you be reimbursed for any expenses that you incur while performing the proposed work/service?  No  Yes (Please describe)  \n______________________________________________________________________________________________________________  \n______________________________________________________________________________________________________________  \n\n| 10. | What is the total expected compensation for the work/services performed? Actual   | Projected\u003Cbr>_______________ |\n| --- | --- | --- |\n| 11. | How will costs be billed and paid (invoice based on actuals, per task completion, hourly rate, etc. ) and | at what payment frequency? |\n\n\n|  |\n| --- |\n|  |","cbCaiqcF0FrMElZ1","https://ap.wps.com/l/cbCaiqcF0FrMElZ1","pdf",506247,"English","# Part 1 – General Information\n# Part 2 – Tax Status\n# Part 3 – Employee/Independent Contractor Determination\n# Part 4 – Authorized UF Users\n# Part 5 – Certification","[{\"question\":\"Who should use this Supplier Tax Information Form?\",\"answer\":\"Use this form only if you are a U.S. person or entity (including a U.S. resident alien). If you are a foreign person or entity, contact payroll at services@ufl.edu.\"},{\"question\":\"What information is collected in Part 1?\",\"answer\":\"Part 1 collects general supplier details such as name, taxpayer ID number (SSN or EIN), business name (DBA), date of birth, address, and selected payment type and expenditure type.\"},{\"question\":\"What does Part 5 certification require?\",\"answer\":\"Part 5 requires the signer to certify the correctness of the taxpayer identification number, non-applicability of backup withholding, U.S. person status, and understanding that the supplier is responsible for personal liability insurance and related taxes.\"}]","University of Florida - Supplier Tax Information Form | PDF",1789801419]