Indonesian
English (United States)
English (UK)
Albanian
Arabic
Aragonese
Armenian
Assamese
Aymara
Azerbaijani
Basque
Belarusian
Bengali
Bhojpuri
Bosnian
Breton
Bulgarian
Cantonese
Catalan
Cebuano
Chinese (China)
Chinese (Hong Kong)
Croatian
Czech
Dari
Dutch
Dzongkha
English (Australia)
English (New Zealand)
English (South Africa)
Esperanto
Estonian
Finnish
French (France)
French (Belgium)
French (Canada)
Frisian
Friulian
Galician
German
Gujarati
Haitian Creole
Hausa
Hazaragi
Hebrew
Hungarian
Icelandic
Igbo
Irish
Italian
Japanese
Javanese
Kabyle
Kapampangan
Kazakh
Khmer
Konkani
Korean
Kurdish
Kurdish
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Latin
Latvian
Lingala
Lithuanian
Lombard
Macedonian
Malagasy
Maithili
Malay
Malayalam
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Maltese
Mongolian
Moroccan Arabic
Myanmar
Nepali
Norwegian
Norwegian
Occitan
Pangasinan
Panjabi
Pashto
Persian
Persian (Afghanistan)
Polish
Portuguese (Angola)
Portuguese (Brazil)
Portuguese (Portugal)
Quechua
Rohingya
Romanian
Russian
Sakha
Sanskrit
Saraiki
Scottish Gaelic
Serbian
Silesian
Sinhala
Slovak
Sicilian
Sindhi
Slovenian
South Azerbaijani
Spanish (Argentina)
Spanish (Chile)
Spanish (Colombia)
Spanish (Dominican Republic)
Spanish (Ecuador)
Spanish (Guatemala)
Spanish (Mexico)
Spanish (Peru)
Spanish (Puerto Rico)
Spanish (Spain)
Spanish (Uruguay)
Spanish (Venezuela)
Sundanese
Swahili
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Tagalog
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Tatar
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Tibetan
Tswana
Turkish
Turkmen
Ukrainian
Urdu
Uzbek
Uighur
Vietnamese
Welsh
Wolof
Xhosa

STIPEND PAYMENTS – AMERICAS
| For U.S. Residents in AMERICAS |
| If the sponsor has approved stipend payments for this study. |
| Site coordinators, please have the patient fill out the W-9 form below and upload it to our portal with the first stipend request. (1 time only for each new patient). |
| Download W-9 Form here |
| Instructions for W-9 Form |
| Payments will be made via a reloadable Visa card. |
| Note: Colpitts Clinical is required by law to report stipend payments totaling over $600 to the IRS each year. A 1099 form will be issued at year-end to the individual who completed and signed the W-9 form. |
| For Non-U.S. Residents in AMERICAS (Canada, Central and Latin America, Caribbean & Mexico) |
| If the sponsor has approved stipend payments for this study. |
| Site Coordinators: Please have patients fill out the W-8BEN form for Non-US Residents in AMERICAS and upload to our portal with the first stipend request. (1 time only for each new patient). |
| Download W-8BEN form here |
| Instructions for W-BEN Form |
| Colpitts Clinical will provide patients with an itemized report each January showing the prior year’s stipend payments, if needed for their tax preparation. |
