ࡱ> #` œbjbj >' ***8*+ I{,V/(0/0/0/h0D22\(z*z*z*z*z*z*z$-}hnNz7d0d077Nz0/0/4z&99970/0/(z97(z992xqv0/, *7|Ts.Tx {<I{s/8l\vv8LvT3V4955}T3T3T3NzNz9XT3T3T3I{7777  dn 2d  n 2    This worksheet should be completed prior to an individuals engaging in any work or activity. Save a copy of this worksheet and any associated documentation in your financial records. To expedite non-SU employee payments from any fund, the worksheet should accompany the Request for Payment of Professional Services Rendered by Non-Employees form available at http://bfasweb.syr.edu/forms/uploads/ACF1BE5.pdf. NOTE: If, after completing this worksheet, you determine that a consultant agreement is necessary for sponsored project activities, please contact the Office of Sponsored Programs for assistance at x2807. This agreement must be executed prior to beginning work. DETERMINATION OF EMPLOYEE / NON-EMPLOYEE STATUSIs the individual a current employee of the University? Yes  FORMCHECKBOX ; No  FORMCHECKBOX  If yes, individual must be compensated through Payroll via RAP. If no, has the individual been on University payroll within the current calendar year? Yes  FORMCHECKBOX ; No  FORMCHECKBOX ; Unknown  FORMCHECKBOX  If yes or unknown, contact the HR Compensation office at x5371. If No, continue.Is the individual a current, full-time undergraduate or graduate student? Yes  FORMCHECKBOX ; No  FORMCHECKBOX  If yes, the individual must be paid as a student employee through Payroll. If no, continue. Is the individual a non-resident alien? Yes  FORMCHECKBOX ; No  FORMCHECKBOX  If yes you must: Contact the Slutzker Center for International Services prior to the individuals engaging in any work and arranging for payments to verify visa type and eligibility, determine if the individual can perform services, and learn under what circumstances services can be performed. If the Slutzker Center determined that the individual may perform services and be paid, contact the Comptrollers Office at x2161 to determine the individuals tax status and to learn what additional requirements or forms are necessary to initiate payment. If the Slutzker Center determines that the individual may not perform services and be paid, STOP. DO NOT CONTINUE. THIS PERSON CANNOT PERFORM SERVICES OR BE PAID. More information on this topic is available on the Comptrollers website at:  HYPERLINK "http://bfasweb.syr.edu/comptrol/checklst.htm" http://bfasweb.syr.edu/comptrol/checklst.htm If no, continue. The next step is to assess whether the nature of the services to be provided is indicative of an employee or non-employee relationship. An employer/employee relationship exists if the University has control over when, where, how and under what conditions the work is performed. Examples: individual is supervised by SU employee; duties performed are similar to those conducted by current or prior employee in similar circumstances An employer/employee relationship does not exist if the University has no control over how, when, where, or under what conditions the work is performed and has control over the result of the services only. In these situations, the individual is considered a non-employee and is not compensated for services through Payroll. Do you consider individual to have an employee  FORMCHECKBOX  or non-employee  FORMCHECKBOX  relationship with SU? Briefly justify your determination:  FORMTEXT       If an employee relationship exists, he/she must be hired and paid through Payroll following standard University procedures; contact HR. More information on this topic is available on the Comptrollers website at:  HYPERLINK "http://bfasweb.syr.edu/comptrol/tax.htm" http://bfasweb.syr.edu/comptrol/tax.htm If a non-employee relationship exists, continue. ALERT: It is important that the correct determination between employee and non-employee be made to keep the University in compliance with IRS and Department of Labor rules and regulations. If you are unsure of the correct status to be assigned, contact the HR Compensation office at 5371 before proceeding and allowing any services to be performed. HR will determine the correct status.  DETERMINATION OF ACCOUNT NUMBER FOR NON-SU PERSONNELHaving determined that an employer/employee relationship does not exist, the next step is to establish the account number to be used on the Request for Payment of Professional Services Rendered by Non-Employees form Briefly describe the activity to be performed:  FORMTEXT       Also, check all that apply:  FORMCHECKBOX  One time activity  FORMCHECKBOX  Temporary participation  FORMCHECKBOX  Intermittent participation/activity  FORMCHECKBOX  On-going rendering of services  FORMCHECKBOX  Individual is explicitly named in an awarded proposal  FORMCHECKBOX  Individual is not explicitly named in an awarded proposal  FORMCHECKBOX  The category of participant is named in awarded proposal e.g. teacher, workshop participant/attendee, etc: Specify:  FORMTEXT        FORMCHECKBOX  SU facilities resources will be used (excluding auditorium/classroom for lecture)  FORMCHECKBOX  No SU facilities or resources will be usedProposed Payment  FORMCHECKBOX  Lump sum payment for activity in the amount of:  FORMTEXT        FORMCHECKBOX  Per hour rate:  FORMTEXT      ; number of hours:  FORMTEXT      ; total amount to be paid:  FORMTEXT  =HrlyRate* Hours 0$0.00  FORMCHECKBOX  Daily rate:  FORMTEXT      ; number of days:  FORMTEXT      ; total amount to be paid:  FORMTEXT  =text36 * text19 0$0.00Use information in #5 and #6 to determine the correct account, as described on the  Account Reference Aid (next page): Account :  FORMTEXT       If you have any questions about the appropriate account number to use, please contact OSP for sponsored activities or General Accounting at x 2522 for non-sponsored activities.If the account is 561101-Consultants, and charged to a sponsored or cost sharing chartstring, a Consultant Agreement is required. REMINDER: Faculty, staff, program directors, chairs or deans are not authorized to execute any agreement on behalf of the University, including Consultant Agreements. Complete, in consultation with OSP, the Consultant Agreement available at the OSP website (http://osp.syr.edu/forms/Consulting%20Agreement-Business.doc.) NOTE: the agreement must be reviewed and executed by the Office of Sponsored Programs prior to work being performed or submitting the Request for Payment of Professional Services Rendered by Non-Employees. NOTE: Office of Sponsored Programs will forward a copy of the fully executed Agreement to Office of Sponsored Accounting; to allow consultant invoices to be processed. SPONSORED PROJECTS ALERT: Prior to performance of work, the Principal Investigator or designee is responsible for informing the non-SU personnel in writing that there are no benefits associated with the work performed, as they will not be considered to be an employee of the University.FOR FEDERAL AWARDS: The Principal Investigator or designee is also responsible for ensuring that the individual is eligible to receive payment by confirming that s/he is not on the excluded parties list system:  HYPERLINK "http://www.epls.gov" www.epls.gov.  FORMCHECKBOX  Eligibility confirmed Date confirmed:  FORMTEXT      Having completed this worksheet and any associated requirements, the Request for Payment of Professional Services Rendered by Non-Employees can be completed (form available at: http://bfasweb.syr.edu/forms/uploads/ACF1BE5.pdf) and submitted with appropriate documentation to: Compensation Administration Human Resources Skytop Office Building.  Account Reference Aid AccountNameActivityCharacteristics561101ConsultantsIndividual is performing services contributing to or participating in a University activity. For sponsored projects, this may include the direction of, or the substantive intellectual participation in a project or interpretation of project results. Generally named in sponsored proposal Collaborative effort to provide expertise, advice, and information as opposed to performance of daily duties. Not required to (although may) use SU resources/facilities 561102HonorariaAcknowledgement of individuals contributions to an event or activity, e.g. Meeting (Provide advice) Convocation Speaking engagement Workshop leaderLump sum payment Expert in the field One time or intermittent during budget period May or may not be named in proposal SU facilities use limited to auditorium or lecture hall561103Non-employee servicesPurchased services or non-consultant and non honoraria activities Provision of services to wide variety of customers Provision of services consistent with primary outside employment Classroom oversight; teachers Web development Graphic designersDaily rate or lump sum payment Activity may be named in proposal Temporary, short-term participation561199Consultants otherFor applicable other non-receipted expenses #+]^_cmr| ŶŧŕŃqbP*CJOJQJ\^JaJ#h7Yh7YCJOJQJ\^JaJh7YCJOJQJ\^JaJ#h7Yh%P&CJOJQJ\^JaJ#h7YhCJOJQJ\^JaJ#h7Yh jCJOJQJ\^JaJh8CJOJQJ\^JaJhP%CJOJQJ\^JaJ#h7YhCJOJQJ\^JaJ) *hih5CJOJQJ\^JaJ& *hihCJOJQJ\^JaJ [|kd$$IfTs&'  t 044 sap ytgT P($Ifgd~N h7$8$H$^gdS D 7$8$H$gd%P&ӛ X Y ] k 1 Q i k p y z  Ƕդp`M`pMp9p'hN6h7Y5B*OJQJ\^Jph$hN6hP%B*OJQJ\^Jphh8B*OJQJ\^Jph$hN6h7YB*OJQJ\^Jph$hN6h%P&B*OJQJ\^JphhN6h7YOJQJ\^J#h7Yh7YCJOJQJ\^JaJ h_|Bh_|BCJOJQJ^JaJh_|BCJOJQJ^JaJ h7Yh7YCJOJQJ^JaJh_|B6OJQJ^Jh_|Bh_|B6OJQJ^J   % & ' ( / 0 > ? @ C K ~ ƵơƵƀseXƔƵh7Yhm\OJQJ^Jh7Yhm\5OJQJ^Jh8h~NOJQJ^J'jhr+hxOJQJU^Jh7YhOJQJ^J'jxh7Yh%P&OJQJU^J!jh7Yh%P&OJQJU^Jh7Yh%P&OJQJ^J h~N5h7Yh~NOJQJ^Jh7Yh~N5OJQJ^Jh7vh?OJQJ^J C % e v (($If^gdj E & F 88(($If^8`gdr pP($If^pgd~NP($If^gd~N & FP($Ifgd      " # $ % & 8 @ D F ͢zfYK@Khkg5OJQJ^Jhh5OJQJ^Jh7Yhr OJQJ^J'jHh7YhOJQJU^Jh7YhOJQJ^J!jh7YhOJQJU^JhOJQJ^JhU"OJQJ^J'jh'hxOJQJU^Jh7Yh%P&OJQJ^Jh7YhOJQJ^J!jh7Yh%P&OJQJU^J'j`h7Yh%P&OJQJU^JF S Z c d e j u v w ߺp\ppHp'jhr+hxOJQJU^J'jh7Yh%P&OJQJU^J!jh7Yh%P&OJQJU^Jh7YhOJQJ^Jh7Yh~NOJQJ^Jh7Yh OJQJ^Jh7Yh%P&OJQJ^J h%P&5h7YhOJQJ^Jhj Eh5OJQJ^Jh%P&OJQJ^JhOJQJ^Jhkg5OJQJ^JhP75OJQJ^Jv w > Q pp(($If^gd?; & FP($Ifgdmkd$$IfTs&' t044 saytgT   , < = > E N P Q R } ~ ڵ䛖xdxxPx'jhr+hxOJQJU^J'jVh7Yh%P&OJQJU^J!jh7Yh%P&OJQJU^Jh7YhOJQJ^J h%P&5h7Yh%P&OJQJ^JhhOJQJ^Jh5OJQJ^Jh7Yhm\OJQJ^Jh7YhOJQJ^JhOJQJ^Jh7Yh F3OJQJ^Jh7Yh F35OJQJ^JQ R EhpRAAA & F$Ifgdj E & F 88(($If^8`gdj E(($If^gd?; & FP($Ifgdmkd$$IfTs&' t044 saytgT BDEefgh1234TX\]9:;俵䵫俞wi^hq 5OJQJ^JhU"hAM5OJQJ^JhU"hAMOJQJ^Jh8h%P&OJQJ^Jh7YhkOJQJ^Jh7Yhr OJQJ^Jh-OJQJ^JhOJQJ^Jhj EOJQJ^Jh7Yhj EOJQJ^Jh7Yhj E5OJQJ^Jh7Yh%P&OJQJ^Jh7Yh%P&5OJQJ^J!3=Q$If^gdj E$If^gdj E & F8d(($If^8gdi & F(($IfgdU" & F \8(($If^8`gdj E;?@S ;<=BLOP̾~oaTG:hj Ehj EOJQJ^Jh7YhU"OJQJ^Jhj EhAMOJQJ^Jhj EhAM5OJQJ^JhN6hj E0JOJQJ^J0j>h8hxB*OJQJU^Jph*jhN6hj EB*OJQJU^Jph!hN6hj EB*OJQJ^JphhAMB*OJQJ^Jph!hj EhAMB*OJQJ^Jphhg5B*OJQJ^Jph$hU"hAM5B*OJQJ^JphPQR^_kltu(6IMO4Լwi\N\hd5h BR5OJQJ^Jh7Yh BROJQJ^Jh7Yh~N>*OJQJ^JhP7OJQJ^Jh7YhN6OJQJ^JhqdSOJQJ^JhN6OJQJ^JhihN6OJQJ^JhghN6OJQJ^Jh~NOJQJ^Jh7Yh04>*OJQJ^Jh7Yh~NOJQJ^Jh7Yh04OJQJ^J h%P&5hj EhOJQJ^JQRlcR4 & F 8\t(($If^\`tgd~N & F(($IfgdN6 & F 88(($If^8`gd~N & FP($Ifgd~Nmkd $$IfTs&' t044 saytgT 8:<XZ\ᡗkQChvrhU">*OJQJ^J2jhd5hd55>*OJQJU^JmHnHu'jJh'hxOJQJU^Jh'OJQJ^Jjh'OJQJU^JhU"OJQJ^Jh BROJQJ^J'jhr+hxOJQJU^Jhd5h BR5OJQJ^J'jbh7Yh BROJQJU^Jh7Yh BROJQJ^J!jh7Yh BROJQJU^J9l*RPmkd$$IfTs&' t044 saytgT d($Ifgdi(($If^gdU"$If^gd7YhP($If^hgd BR #$}789J^iklt*νukukaO:(h`ph`p5B*CJOJQJaJph"h`p5B*CJOJQJaJphh`pOJQJ^JhU"OJQJ^Jhb OJQJ^JhN6hU"0JOJQJ^J0jh8hxB*OJQJU^Jph*jhN6hU"B*OJQJU^Jph!hN6hU"B*OJQJ^Jphh F35OJQJ^JhAM5OJQJ^Jh7Yh BROJQJ^Jh7Yh BR5OJQJ^J*b()*hkrrh^^PBPh_|Bh)6OJQJ^Jh_|Bh BR6OJQJ^JhU"OJQJ^Jhx,eOJQJ^Jhvrh BR>*OJQJ^Jh7Yh BROJQJ^J h:k5h7Yh:kOJQJ^Jh:k5OJQJ^Jh7Yh:k5OJQJ^Jh:k h%P&5h_|Bh-5CJOJQJaJ *h_|Bh`pOJQJ^Jh_|BhC5CJOJQJaJh_|Bh`p5CJOJQJaJ)* o^M4 8$If^8`gd BRh(($If^hgd BR & Fdd$Ifgd_|B~kd$$IfTl&'  t 0644 lap ytvrTx($Ifgd:koFBLdfz|~ĶĦpbWI8!jh7Yh BROJQJU^Jh7Yh BR5OJQJ^Jh:k5OJQJ^JhvrhU">*OJQJ^J)jhd5>*OJQJU^JmHnHu*jh hd5hx>*OJQJU^Jhd5>*OJQJ^Jjhd5>*OJQJU^Jh7Yh BR>*OJQJ^Jh7Yh BROJQJ^Jh_|B6OJQJ^Jhvrh BR6OJQJ^JhvrOJQJ^Jhvr6OJQJ^J *,.`b~'()5CLO`aopq}͹ͥ͑}pp\pp'j" h7Yh BROJQJU^Jh7Yh)OJQJ^J'j h7Yh BROJQJU^J'j: h7Yh BROJQJU^J'j h7Yh BROJQJU^J'jR h7Yh BROJQJU^Jh7Yh BROJQJ^J!jh7Yh BROJQJU^J'j h7Yh BROJQJU^J$ ``P \0d$If^`0gdx,e8$If^8`gdx,e8$If^8`gd BR .578BC  ,.0b泦qZF'j h7Yh BROJQJU^J,jhd55>*OJQJU^JmHnHu-j hd5hx5>*OJQJU^Jhd55>*OJQJ^J!jhd55>*OJQJU^Jhvrh BROJQJ^Jh7Yh BR5OJQJ^J'j h7Yh BROJQJU^J!jh7Yh BROJQJU^Jh7Yh BROJQJ^Jh7Yh)OJQJ^Jbr6FPRtv ط鲥s`Rh'h'5OJQJ^J$jh'h'5OJQJU^Jh7YhkOJQJ^J'jhd5hxOJQJU^J!jh7Yh F3OJQJU^Jh7Yh F3OJQJ^J h BR5h7Yh)OJQJ^J'j h7Yh BROJQJU^J!jh7Yh BROJQJU^Jh7Yh BROJQJ^Jhx,eOJQJ^JPRt n!"oo^h(d$If^hgdx,eh(($If^hgd F3 & Fx($Ifgd:kmkdh$$IfTl&' t0644 laT     " > @ B D d f z | ~ ׽װ~q`S<`-jAh8hx5>*OJQJU^Jh85>*OJQJ^J!jh85>*OJQJU^Jh7YhkOJQJ^J'jhd5hxOJQJU^Jh7Yh;4OJQJ^J!jh7Yh;4OJQJU^Jh7Yh F3OJQJ^J2jhd5hd55>*OJQJU^JmHnHu$jh'h'5OJQJU^J*j-h'hx5OJQJU^J~ !!!0!2!V!X!Z!\!^!`!j!l!n!p!ش˓شش؁j؁]L!jh7Yh F3OJQJU^Jh7Yh;4OJQJ^J-jsh8hx5>*OJQJU^J#hr+5>*OJQJ^JmHnHuh:kOJQJ^J-jh8hx5>*OJQJU^Jh85>*OJQJ^Jh8OJQJ^Jh7Yh)OJQJ^J!jh85>*OJQJU^J,jh85>*OJQJU^JmHnHup!!!!!!!!!!!!!!"""" 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Used in combination with 561101 or covered by consultant agreement. Non-receipted expenses separately reimbursed and in agreement. Form 1099 Reportable. 561104Sponsored SubjectIndividual involved in research/demonstration project as participant or subjects, e.g. Teachers Paid to receive training or professional development Common for NSF or Dept of Ed projects Human Participants Nominal compensation for time Also called informant fees Category of participant named in proposal Individuals not explicitly named in proposal Confidentiality may be required Fee may be linked to primary place of employment (e.g. union shop). For sponsored project charges to account 561101, please contact OSP for assistance in completing the Consultant Agreement. 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