This page is the backup copy of the data collection form used in Rounds 0, 1, and 2.

The original copy was incorrectly sent to winners of Round 3, and needed to be updated. 

This form is no longer used, but is here for historical record purposes.

Congratulations!

Great work on forecasting! 

Just a couple of more tasks for you to verify your eligibility to claim your prize. You have 30 days from receipt of this notice to submit your information to begin the payment process.

Terms:

US Citizens

  • who win more than $50 in a calendar year should self-report winnings to the IRS on Form 1040 Line 21.
  • who win more than $500 in a calendar year must submit to Replication Markets IRS Form W-9 so we can file a 1099-MISC if prizes exceed $600. Submit completed IRS form to AccountsPayable@keywcorp.com with subject line “GooglePay-SCORE-“. KeyW, a wholly owned subsidiary of Jacobs, distributes prize money for the Replication Markets project.

Non-US Citizens

  • must submit  IRS Form W-8BEN to Replication Markets so we can file IRS Form 1042. RM may have to withhold up to 30% of the prize money, depending on tax treaties. Submit completed IRS form to AccountsPayable@keywcorp.com with subject line “GooglePay-SCORE-“. KeyW, a wholly owned subsidiary of Jacobs, distributes prize money for the Replication Markets project.

Complete ONLY ONE of the forms below.

If you have a US bank account...

Replication Markets uses Google Pay for accounts connected to US bank or credit accounts only. If you do not have a Google Pay account, please set one up before continuing. 

It is your responsibility to enter your Google Pay information correctly. We will send payment to the email address you provide.

OR

If you do not have a US bank account...

If your international bank can provide you with a corresponding US bank account, then you can set up a Google Pay account and complete the form above.

Otherwise, submit your information below for a non-US bank account. We will use PayPal to send your award. Please indicate the country where the bank account is held.