How to complete the Substantial Presence Form
The Substantial Presence Form must be completed before you
can receive any form of payment. All applicable questions must be answered. A
copy of both sides of your I-94 Form “Arrival and Departure Record” (the small
white card inside you passport); a copy of your U.S. VISA from your passport;
and an I-20 or DS-2019 (formerly IAP-66) must be attached to this form. If any applicable section is unanswered,
incomplete or the above-mentioned copies are not included, the form will be
considered incomplete and you will not receive payment.
This form must be returned before any check can be issued by the Payroll or Accounts Payable Department and must be completed by anyone receiving tuition/remission/scholarship.
1.
Name: List full name
2.
Social Security
Number: Enter United States (US) social
security number issued by the US Social Security Administration, not your ID
number. Do not list numbers not
assigned by the US Social Security, i.e. Canadian social security number. All employees must have a social
security number in order to work.
3.
ID #:
Enter your Student/Faculty Identification Number
4.
Local Street Address:
List your local US address. This would
be where you physically reside in the US, not a PO Box, not a Univ. of
Montana Department.
5.
Foreign Residence
Address: List your non-US address. This is where you would reside in your
country of citizenship if you were not in the US, not a PO Box.
6.
Country of
Citizenship(s)
7.
Country that issued
your Passport: List the Country in
which you were issued your passport.
Not the Country where it was issued.
8.
Passport Number: Enter your passport number.
9.
Visa Number: Enter your Visa number.
10.
Immigration
Status: Check Yes or No. If yes, complete Page 2 of the form for the
time you were present in the US.
Approximate if you do not know.
11.
Immigration
Status: Check the type of immigration
status that you currently hold. If
you check US Immigrant/Permanent Resident, holder of a “green” card, you may
proceed to the bottom of the form sign and date.
12.
Immigration Status for
J-1: Check the appropriate J-1 subtype.
13.
Actual Primary
Activity: Check one activity.
14.
Actual Entry Date into
the US: Must include Month, Day and
Year. Approximate if you do not know.
15.
Start Date: Must
include Month, Day and Year.
Approximate if you do not know.
16.
End Date: Must include
Month, Day and Year. Approximate if you
do not know.
17.
Occupation: Describe
in general the service you will perform.
18.
Check the appropriate
box.
19.
Is your spouse in the
US?: Check the appropriate box. Give the number of other dependents in the
US.
20.
Tax residence is where
you last paid taxes as a resident and can be different from legal
residence. Do not include the US.
21.
Consultant/Self-employed
Individuals: Check the appropriate box. This includes any office at any location
specifically identified with you.