UT Math Request for Visitor Authorization
(THIS FORM IS TO BE SUBMITTED 2 WEEKS PRIOR TO VISIT)
(if you have one)
If you don't have an UT EID, you will receive an email from email@example.com to establish a UT EID.
You'll need to upload your identification or social security card as an attachment and sign the Payee Information Form (PIF) electronically.
Name of Your Host:
Email of Your Host:
This information is very important.
Lack of proper work authorization may result in non-payment.
Country passport issued by:
WB/WT or Visa Waiver Program
of the USA
Green Card No.
Other, please specify
for questions about visa issues.
Non-Texas State Employee
Nature of Service
Other Professional Activities
Dates of Visit
Arrival Date :
Institution Name, Full Address and Department
Full Mailing Address for reimbursement (preferably home address/must include street address and zipcode)
Description of Services, Including the Title of Talk
Provided by Host
Time and Location of Talk:
Is this guest a job candidate?
Direct paid items are not allowed using state funded accounts
Other Direct Paid Items:
Specify Other Direct Paid Items:
For lodging arrangements, please contact your account manager.
If this request is late, please provide a short explanation to the Dean
Lodging Conf. #:
Name of Hotel:
Please type the characters you see in the picture above