Payment, Billing, & Renewals

About Payment, Billing, & Renewals

This page contains information to help you manage your financial interactions with Qualtrics. Here, you will find instructions for how to set up Qualtrics as a vendor, update billing contacts, send payments, and more.

If you need to submit a request or have additional questions, follow the instructions in Contacting the Accounts Receivable Team to reach out to the Accounts Receivable team directly.

Setting Up Qualtrics as a Vendor

If you need to set up Qualtrics as a vendor in your system to buy a license or software from Qualtrics, you can use the information below, which differs based on the entity you are contracting with. Entity information can be found within your contract. For specific banking information, see the Sending Payments section.

Qualtrics LLC

• Entity Name: Qualtrics, LLC
• Entity Address: 333 W River Park Drive, Provo, UT, 84604 United States
• Tax ID: 47-1754215
  Qtip: The tax ID for India only is FEIN: 45-4964116.
• Other Required Documents: W-9. Go to Vendor Forms and Documents to download Qualtrics’ current W-9.
• Point of Contact: invoices@qualtrics.com
  Qtip: If a name is required, use Israel Illescas (iillescas@qualtrics.com.)

Qualtrics Ireland Limited

• Entity Name: Qualtrics Ireland Limited
• Entity Address: Costello House, 1 Clarendon Row, Dublin 2, D02 TA43, Ireland
• Tax ID: 3765130LH
• Point of Contact: collections-emea@qualtrics.com
  Qtip: If a name is required, use Israel Illescas (iillescas@qualtrics.com.)
• Vendor forms:
  • Qualtrics Ireland Tax Clearance Certificate
  • Qualtrics Ireland Certificate of Taxable Status
  • Qualtrics Ireland Certification of Tax Residence

Qualtrics Brazil LTDA

• Entity Name: Qualtrics Brazil, Ltda.
• Entity Address: Al Santos 74, Andar 7 Conj 72 Sala 59 São Paulo, SP 1418000 Brasil
• CNPJ: 42.374.558/0001-87
• Point of Contact: invoices@qualtrics.com
  Qtip: If a name is required, use Israel Illescas (iillescas@qualtrics.com.)

Vendor Forms and Documents

The following vendor forms are available for Qualtrics. They may be needed when you set up Qualtrics as a vendor. Click the name of a file to download it.

• Qualtrics LLC W-9: 2024 W-9 tax form. Next year’s form is typically available by February each year.
  Qtip: This file is applicable when setting up Qualtrics in the United States.
  Qtip: If the tax ID on your W-9 is different from the one on your invoice, see the Qualtrics 2024 W9 Cover Letter.
• Certificate of Liability Insurance: Certificate of liability insurance. Next year’s form is typically available by July each year.
• Tax Residency Certificate: Certificate of residency. Next year’s form is typically available by May each year.
• Certificate of Formation: Document validating legal operation for Qualtrics, LLC.
• Certificate of Existence: Document validating legal operation for Qualtrics, LLC as a business in the state of Utah.
• Provo City Licensing: Document validating legal operation for Qualtrics, LLC as a business in Provo, UT.
• DEI Letter: Qualtrics’ Representation of the organization’s demographic data.
• Conflict of Interest Letter: Document confirming policies that prohibit Qualtrics officers and employees from holding a financial interest in customers, if such interest could lead to a conflict of interest.
• Qualtrics Ireland Tax Clearance Certificate: Tax clearance certificate for Qualtrics Ireland.
• Qualtrics LLC 10F: 2024 10F tax form. Next year’s form is typically available by May each year.
  Qtip: This file is applicable when setting up Qualtrics in India.
• 21-RFI: Tax form for Portugal.

For banking letters, go to the table in Sending Payments. For additional information or other documents, follow the instructions in Contacting the Accounts Receivable Team to submit a request.

Viewing Invoices

Invoices are generally sent 30 days before your annual billing date, to the billing contact on file for your organization. See Customer Contact Information for more information on billing contacts.

Your contract also has estimated invoice dates within the fees exhibit. If you haven’t received an expected invoice, follow the instructions in Contacting the Accounts Receivable Team to submit an inquiry.

Updating Customer Contact Information

To update the name or address of your organization, submit an inquiry within the Billing Contact page within your Customer Success Hub. See Contacting the Accounts Receivable Team for more information.

Billing Contact

You can change the billing contact for your organization within the Billing Details section of the Customer Success Hub if you are a Brand Administrator, or listed as the primary or billing contact for your organization. For step-by-step instructions, see the “Primary and Billing Contacts” section of the Billing Details support page. If you are not a Brand Administrator or the primary or billing contact, use this survey to submit an inquiry.

Collections Communications

Aged invoices are collected by ALTUS Receivables Management, a third party collections agency employed by Qualtrics to collect on aged invoices. If an invoice has been sent to ALTUS Receivables Management, the payment obligation to Qualtrics is now being collected by this third party collections agency. Please work with ALTUS directly to settle your outstanding balance.

Collections communications are sent to the billing contact email address on file. If this email address is incorrect, please update it by following the instructions in the “Primary and Billing Contacts” section of Billing Details. If you are not a Brand Administrator or the primary or billing contact, use this survey to submit an inquiry.

Sending Payments

For open balances less than USD 12,500, you can pay via credit card. For amounts over USD 12,500, payments can be provided via check, ACH, or wire.

When you are ready to pay your invoice, you can find the banking details of where to send your remittance on the left-hand side of your invoice. You can also use the table below to find the entry that corresponds to the entity you’ve contracted with or the currency of your contract. Click on the name of a bank letter to download it.

Click here to see a list of banking information by entity and currency.

Contracted Entity/Currency	Banking Address	Banking Details	Bank Letter
Australian Dollar	JPMorgan Chase Bank, Sydney Branch Level 18, 85 Castlereagh Street Sydney, 2000	Account Name: QUALTRICS LLC Account Number: 083601919 BSB Swift ELD: 212-200 SWIFT: CHASAU2X Please also include the invoice number.	AUD Qualtrics SSI Letter
Canadian Dollar	JPMorgan Chase Bank, N.A., Toronto Branch 66 Wellington Street West, Toronto, Ontario M5K 1E7, Canada	Beneficiary: SWIFT field 59 Account name: Qualtrics LLC Account Number: 4011738366 Beneficiary Address: 333 River Park Drive Provo, UT 84604-5787, USA Please also include the invoice number.	CAD Qualtrics SSI Letter
Clarabridge	JPMorgan Chase New York, NY 10017	Account Number: 790028093 ABA Routing and Transit Number: 021000021 Swift Code: CHASUS33
Qualtrics Brazil, Ltda, or Brazilian Real	Banco JP Morgan S.A. Av. Brigadeiro Faria Lima, 3729 Bank number 376, branch 0001	Account Name: Qualtrics Brazil Ltda Account Number: 1043973 SWIFT BIC Code: CHASBRSP IBAN code: BR7833172537000010001043973C1	Brasil Carta de Certificação Bancária
Qualtrics Ireland	JPMorgan House International Financial Services Centre Dublin 1 Ireland	Account Name: Qualtrics Ireland Limited Account Number: 0079608994 IBAN: IE04CHAS93090379608994 SWIFT BIC: CHASIE4L	EUR Ireland Qualtrics SSI Letter
Qualtrics LLC – Euro	JP Morgan Bank N.A London Branch 25 Bank Street London, E145JP	8 Digit SWIFT: CHASGB2L 11 Digit SWIFT: CHASGB2LXXX Account Name: QUALTRICS – EUR Account Number: 41390933 IBAN: GB21CHAS60924241390933 Please also include the invoice number.	EUR London Qualtrics SSI Letter
Qualtrics LLC – Great British Pound	JP Morgan Bank N.A London Branch 25 Bank Street London, E145JP	8 Digit SWIFT: CHASGB2L 11 Digit SWIFT: CHASGB2LXXX Account Name: QUALTRICS – GBP Account Number: 41390662 IBAN: GB63CHAS60924241390662 Sort Code: 609242 Please also include the invoice number.	GBP Qualtrics Letter
All Other Currencies, including USD	JPMorgan Chase Bank, NA 270 Park Ave. New York, NY 10010	Account Name: Qualtrics, LLC Account Number: 207865283 ABA Routing for ACH and Check: 124001545 ABA Routing for Wire: 021000021 SWIFT (International): CHASUS33 Please also include the invoice number.	USD Qualtrics SSI Letter

Paying by Check

To pay your invoice by check, send a check to the following address:

• Paper Check via USPS: Qualtrics LLC Dept# 880102 P.O. Box 29650 Phoenix, AZ 85038-9650
• Overnight Courier: JPMorgan Chase (AZ1-2170) Attn: Qualtrics, LLC/880102 2108 E Elliot Rd Tempe, AZ 85284

Contacting the Accounts Receivable Team

If you have questions about payment, billing, or renewal inquiries not covered on this page, click Contact Us on the Billing Contact page within your Customer Success Hub. See Billing Details for more information.

Inquiries are typically responded to within 3 business days. If you haven’t received a response within this time frame, please follow up on your case or email.

When to Contact the Accounts Receivable Team

Below is a list of scenarios that require you to submit an inquiry to the Accounts Receivable team. This does not cover all possible scenarios; if you have a question that isn’t covered in the following list or on this page, submit an inquiry.

• Requesting a refund
• Escalating a payment, billing, or renewal issue
• Fixing an error or incorrect tax amount on your invoice
• Providing your tax exemption form
• Providing your Purchase Order information
• Getting your invoice uploaded to your payment portal
• Having Qualtrics register for your payment portal
• Discussing a payment plan
• Confirming a payment
• Disputing an amount due
• Notifying Qualtrics you are in bankruptcy
• Avoiding being suspended for non-payment
• Requesting to stop receiving emails trying to collect on your payment
• Updating your billing address or billing instructions
• Requesting a copy of the contract associated with your invoice

FAQs