Please Note:

This form must be completed by the individual who received the gift.
For compliance and accurate record-keeping, please do not complete this form on behalf of someone else. If you did not personally receive the gift, please forward the form link to the recipient.

You will need the following information to complete this form:

1. Purchaser/PI name and email – This is the Faculty/Staff member who purchased the gift (the person whose account paid for it). Only enter a student’s name/email for this question if you are certain that a student personally purchased the gift.
2. Gift Distributor name and email – Enter a name/email for these questions only if the gift was handed out by someone different from the Purchaser/PI (e.g., a student distributing the gift on behalf of a Faculty/Staff member).
3. Grant funding – If the gift card was paid from a grant account (project numbers beginning with “5”), the recipient must select “Yes” to this question on the form. Otherwise, select “No.”

Please make sure you have the correct responses to these questions before continuing.