Reimbursement Form 2018

Please direct any questions about the reimbursement process to intern@masstech.org.

Submission Deadline: October 31, 2018

Company Information

Student Intern Information

Stipend Reimbursement Calculator

Please enter your student intern pay data in the excel spreadsheet. Hours worked should not include any paid holiday or vacation time.

Proof of Payment

  • Proof of payment must verify:
    • Intern name
    • Company name
    • Hourly wage or total hours worked
    • Gross pay
    • Pay period dates (check dates are not sufficient)
    • Payroll tax deductions
  • Acceptable proof of payment:
    • Payroll reports, registers, or journals
    • Paycheck stubs
    • Earnings statements
  • Unacceptable proof of payment:
    • Canceled checks
    • Any documentation that does not show required tax deductions
    • Excel spreadsheets
  • Payroll reports generated by third-party vendors are preferred.  

Do not send any documents that include Social Security Numbers.

Please certify the following: