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 UBF for purposes of reimbursement.

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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. Attach to Disbursement Request or Purchase Order for submission.

Need Help Completing the Form?

Rose Dommer.

Rose Dommer

Accounts Payable Manager

UB Foundation

Phone: 716-645-8749


Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated: August 5, 2022

Owner: UB Foundation