UNM Business Policies & Procedures
INCENTIVES TO PROGRAM PARTICIPANTS
Name of Person Completing this Form: _____________________________
Contact Phone Number: ______________________
This form is to be emailed to Accounts Payable at <email@example.com> no later than two (2) weeks after the program or event is completed.
Departments are responsible for complying with the HIPAA, FERPA and other relevant regulations pertaining to confidential information.
Do not include any protected information when reporting.
How Was This Paid?
Social Security S=Supplies,
Number (SSN) or E=Minor
Date Individual Equipment,
Incentive Taxpayer Fair Market M=Materials,
was Identification Value of Petty Gift C=Conference
Received Last Name First Name Number (ITIN) Incentive DPEZ Cash Card L=Lobo Cash Address, City, State, Zip
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