Foreign National Information Form
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1
2H
U
ARVARD
NIVERSITY
F
N
I
F
OREIGN
ATIONAL
NFORMATION
ORM (FNIF)
HU Contact____________ phone #____________
Department/ Preparer use only
Department contact ___________________ Phone# ___________________
FOR ASSISTANCE CONTACT
Harvard Tax Services
Pay Group ______________ or WV #_________________________
347 Holyoke Center
(617) 4969919
Pay Group ______________ A/P Payment/ Reimbursement ______(Ö)
Cambridge, MA 02138
(617) 4958436
o
Check One:
Initial Submission Required prior to first payment.
o
Update Required only if any information in Section B, C or D changes during individual’s stay in U.S.
SPECIAL NOTE FOR VISITORS ON JVISAS:
Visitors on J visas not sponsored by Harvard University MUST obtain written permission from the International Office of their sponsoring
institution PRIOR TO receiving honoraria or service payments (including employee compensation) from Harvard.
SPECIAL NOTE FOR VISITORS ON TN, H1B or O VISAS:
Visitors on TN, H1B or O visas not sponsored by Harvard University may NOT receive honoraria or service payments (including employee
compensation) from Harvard.
*** A copy of your I94 Departure Record (a small white card inside your passport), a copy of your U.S. Visa from your passport, and a
copy of your I20, DS2019 or I797 (immigration documents), if applicable, must be attached to this form. ***
Section A – General Information
1.
Last Name/Surname ________________________________ Middle Initial ______ First Name/Given Name_______________________________
2.
U.S. Social Security Number or U.S. Individual Taxpayer Identification Number _____________________________________________
3.
Harvard I.D. Number __________________________________________
4.
United States Address
5. Foreign Address
Line 1
_______________________________
Line 1
______________________________________
Line 2
_______________________________
Line 2
______________________________________
Line 3
_______________________________
Line 3
______________________________________
City/Town
_______________________________
City/Town
______________________________________
State
_______________________________
Region/Province_____________________________________
Zip/Postal Code _______________________________
Zip/Postal Code______________________________________
6.
Telephone _________________________________________
Country _______________________________________
Email Address ______________________________________
Section B – Residence Status for Tax Purposes
Check the appropriate box below to indicate your residence status for tax purposes only.
If you do not know your tax residency please leave blank. Tax Services will determine your status upon review of this form.
o
7.
I AM A PERMANENT RESIDENT. Provide the alien number as shown on the front of your Alien Registration Receipt Card.
(Green Card) #A______________________ and proceed to Section E Certification.
o
8.
I AM OR HAVE BEEN CLASSIFIED PREVIOUSLY AS A RESIDENT ALIEN FOR TAX PURPOSES.
o
9.
I AM A NONRESIDENT ALIEN FOR TAX PURPOSES.
I DO NOT meet the requirements for tax residence in the United States of America.
10. If you are a nonresident alien for tax purposes, what is your country of “tax residency”? ________________________________________
Note: If you checked Box 8 or 9 in this section you must complete Section C.
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