Fill - Free fillable Guest Lecturer With Instructions (Texas Woman's University) PDF form

Procurement and Contract Services

P.O. Box 425439 / Bralley Annex ● Denton, TX 76204-5439 ● P: (940) 898-3535 ● F: (940) 898-3519 ● procure@twu.edu

Rev: 4/18

INSTRUCTIONS FOR FORM

Guest Lecturer/Performer Authorization and Payment Request Form

 A Guest Lecturer/Performer Form may be used for:

o Individuals presenting lectures, speeches, seminars, workshops, and/or performances

 A Guest Lecturer/Performer Form may not be used for:

o Professional services

o Businesses or corporations

o Faculty or staff members (please pay these individuals through Office of Human Resources)

o Students at Texas Woman’s University (please use Request for Check form)

 This form may be used for services that meet the following criteria:

o Individual is US Citizen or Permanent Resident Alien

o Payments are equal to or less than $5,000.00

o Total amount listed includes the service provided and all expenses (one total for service and

expenses including travel by lecturer/performer- do not itemize or separate)

 Payment for Guest Lecturer/Performer Services shall be made after services have been rendered when

the follow criteria is followed:

o Form is submitted to Procurement Services within five (5) days after services are rendered

o Requestor name/signature

o Account/s have available funds

o Account Manager signature

o Approved form must include Lecturer/Performer’s signature, dated on or after the date services

have been rendered/complete

 If the guest lecturer/performer is new, form should also include:

o Completed and signed W9 form (payment will not be made without a signed form on file)

o Completed and signed EFT agreement form (preferred method of payment)

 Prior to contracting for services, a completed form must include the following signatures designating

approval:

o Requestor

o Account manager

o Office of Research and Sponsored Programs (Grant accounts only, if applicable)

 Payment for Guest Lecturer/Performer Services shall be made after services have been rendered. Please

allow up to 5 business days for payment processing procedures

 Fill out this form, print and sign. Then scan and email as an attachment to procure@twu.edu

Procurementand Contract Services

P.O.Box425439/BralleyAnnex

●

Denton,TX76204‐5439

●

(940)898‐3535

●

(940)898‐3519● procure@twu.edu

Rev:4/18

GuestLecturer/PerformerServicesAuthorizationandPaymentRequestForm

● Once form is completed: scan & email as an attachment to procure@twu.edu

DEPARTMENTDEPARTMENT ANDGUESTLECTURER/PERFORMERINFORMATION

DepartmentName EventorCourseTitle

GuestI ndividua lName SocialSecurityNumber

MailingAddress:__________________________________________________

EmailAddress: ___________________________________________________

USCi tizen PermanentResidentAlie n NonresidentAlien

IftheindividualtobehiredisaNonresidentAlien,specialproced ures arerequiredandthisformisnotapplicable.SeePaymenttoanInternational

IndividualontheHumanResourceswebsite.IftheindividualisacurrentorpreviousemployeeofTWU,contactProcurementand Contract Services.

GUESTLECTURER/PERFORME RSERVICESANDEXPENSES

DatesofService: ____________________________________

Whatpersonorgroupofpersonswillreceiveservices? _______________________________________________________________

HowwilltheUniversity(programs)benefitfromtheservices?__________________________________________________________

Topic/Performancebeingpresented:______________________________________________________________________________

AccountNumber:  Amount:$_____________________

AccountNumber:  Amount:$_____________________

SIGNATURESFORAUTHORI ZATION(ALLREQUIRED)

Requeste dBy(printname ) Title

IcertifythattheaboveservicesarenotavailableonadirectsalarybasisfromstaffmembersofTWU.Icertifythatthisfeeisappropriate

consideringthequalificationoftheabovenamedindividual,thenameofthe servicesperform ed andtheamountnormallypaidforsuchservices



AccountMana ger(printname)

AccountMana gerSignature Date

OfficeofResearchandSponsoredPrograms(ifapplicable) Date

SIGNATURESOFGUESTLECTURER/PERFORMER

IcertifythatIhavecompleted theservicesasdescribedaboveandrequestpaymentintheamountindicatedaboveaspaymentinfull

forservicesrendered.IhavefurnishedallinformationanddocumentsnecessaryforTWUtocomplywithfederaltaxationand

immigrationlaw.TaxpayerIdentificationNumberan dCertification(W‐9).

Lecturer/Performer Signature

Date

7252

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