Nonresident Alien Taxation
Alien Taxation
and Forms
and Other Resources
CERTIFICATE OF ACADEMIC ACTIVITY
Date: __________________
San Francisco State University _________________________
Department
Certification of Academic Activity
The American Competitiveness Workforce Act of 1998 allows payment of honoraria and associated incidental expenses to B-1, B-2, WB, and WT visa holders for "usual academic activity," if paid by a United States institution of higher education, a nonprofit organization affiliated with an institution of higher education, or a nonprofit or a governmental research organization. Under the Act, an academic activity may not exceed nine days at a single institution. In addition, such visa holders cannot accept honoraria and/or incidental expenses from more than five such institutions or organizations 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 or have applied for a Social Security Number or an Individual Taxpayer Identification Number.)
The dates of my activity at San Francisco State University will be from ____________________ to ___________________.
(Please note that academic activity at the San Francisco State University cannot exceed nine days.)
Acknowledgement:
I have accepted an invitation by San Francisco State University for the purpose of engaging in an academic activity. I will receive an honorarium payment and/or reimbursement for incidental expenses for my academic activity. I have not accepted honoraria and/or incidental expense reimbursements within the prior six-month period from more than five institutions of higher education, a nonprofit organization affiliated with an institution of higher education, or a nonprofit or a governmental research organization. (Please note that San Francisco State University cannot make an honorarium and/or incidental expense payment to you if you have received such payments from more than five of these organizations within the past six months.)
Certification:
I certify that the information contained on this form is to the best of my knowledge and belief, true and complete.
Signature of Nonresident Alien: __________________________________ Date: ________________