Quick Reference Guide for Form PC

Payee Certification

Form PC

/ Section A / Section B / Section C / Section D
When to complete the Form PC /
  • Paying an individual for goods and/or services, such as contractual work; consulting; speaking fees; sale of artwork; or providing artistic or entertainment services for Convocations or other university-sponsored events.
  • Reimbursing expenses to a non-Purdue employee.
  • Paying an award to an individual who is not a Purdue student or a Purdue employee.
  • Making a payment to a participant, such as an undergraduate student, for an approved program.

Who should sign / N/A / N/A / Payee named in Section A. Original signature required. / Person with first-hand knowledge that goods/services have been received. Original signature required.
Where to send /
  • If services have been rendered and a payment is due (either one-time or progress), attach to Direct Invoice Voucher, Form DIV, along with required documentation of reimbursable expenses (same as documentation required for reimbursement of expenses for employee travel; see to the Tax Department, FREH.

How to complete Form PC

Section A

/
  • Payee should complete this information in order to verify tax, citizenship and employment information.
  • “Additional Non-Resident Alien Instructions” for Section A.8. should always accompany the Form PC, preferably by copying onto the back of the each form.

Section B
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  • This section serves as an invoice documenting all payment information.
  • Provide a brief description of the services rendered or the reason the payment in being made.
  • Indicate whether the work was performed inside or outside the United States.
  • Indicate the time period covered by this payment and whether it is a progress payment or not. The time period may be one day, a series of dates, or starting and ending dates.
  • Indicate the honorarium or fees to be paid, the amount of any expenses being reimbursed, and the total payment amount for this invoice. If payment is in foreign currency, indicate the currency type.
  • Indicate the account number to be charged.

Section C
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  • This section provides certification from the payee that the payment requested is in accordance with actual work/services performed and any reimbursements.

Section D
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  • This section provides certification from Purdue employee with first-hand knowledge that work/services have been delivered as stated, reimbursements requested are applicable, and the payment is in accordance with Uniform Guidance.
  • The title or position of this person should be indicated; for example, “Principal Investigator”.