Determination of Residence Status for Federal Tax Withholding for UB Foundation (UBF)

Determine if someone has U.S. residence status by answering a series of questions, including those regarding "substantial presence." This is for use with the UB Foundation (UBF), for purposes of reimbursement.

Mobile Users

For the best experience in completing this form use a non-mobile device.

Using Firefox with PDF forms?

Make Adobe Acrobat the reader.

Completing the PDF Form

  1. Read through all pages of the document to find specific instructions
  2. Enter requested information into the form
  3. Print the form
  4. Get required signatures
  5. Scan a copy of the signed form for your records
  6. Send the original form to the appropriate address:

Campus Mail

UB Foundation
Center for Tomorrow
North Campus

External Mail (USPS)

UB Foundation
P.O. Box 900
Buffalo, NY 14226-0900

Need help completing the form?

Send email, phone or submit a question

Rose Dommer

Accounts Payable Manager

UB Foundation

Phone: 716-645-8749

Email: rdommer@buffalo.edu

 
 
(We'd like to respond to you.)
(Required)

Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated: 4/13/2015

Owner: UB Foundation