Request for Replacement of IRS Form 1098-T

To request a replacement copy of your Tuition Payments Statement (Form 1098-T), please provide the information below. Please print neatly and make sure all signatures are complete at the bottom of the page to avoid delays.

Tax Year Needed _________________
Student's Legal Name ________________________________________________________________________
Student's SS # or ID # ________________________________________________________________________

Please indicate below how you would like to receive your replacement 1098-T:

 
I will pick it up at the Office of Student Accounts. (Sign below)
Please call me at __________________________ when it is ready.
 
Please mail it to me at the address below. (Please allow 5-7 working days)

(To ensure confidentiality, 1098-T's cannot be faxed.)

Please provide mailing address and telephone number to mail duplicate form to:

Street Address _____________________________________________________________________________
                          _____________________________________________________________________________
City ______________________________ State _______________ Zip Code ___________
Daytime Phone _________________________________ Evening Phone ____________________________
 
Student's Printed Name ______________________________________________________________
Student's Signature ______________________________________________________________
Date ______________________________________________________________
NOTE: THIS REQUEST MUST BE SIGNED BY STUDENT/GUARANTOR.
Guarantor's Printed Name _____________________________________________________________
Guarantor's Signature _____________________________________________________________
Guarantor's SS # _____________________________________________________________
Date _____________________________________________________________
Reason for Duplicate 1098t _____________________________________________________________________________

 

Please forward this completed form to:
Vanderbilt University Office of Student Accounts
110 21st Ave. S., Suite 100, Nashville, TN  37203
or fax request to 615-343-8511

 

Student Account Office Use Only:
  Original 1098-T Re-mailed Date
  Duplicate 1098-T Reprinted & mailed Date
  Picked up by:   Date