Stipend/Human Research Subject Payment Request FormStipend Payment Request • August 5th, 2021
Contract Type FiledAugust 5th, 2021Purpose: Copy of Grant page or Justification authorizing Stipend Attached? Yes Required Completed and signed W‐9 Attached Yes Required Is the Payee a current VSU Employee: ■ Yes No (Employees are not eligible for Stipend Payment) Is the Payee a current Student: Yes ■ No (Stipend form is only used for students) Student/Payee Name: Student V Number/SSN Last 4 only Period Services Rendered to