Financial Forms

Honorarium Form

Please fill out all applicable fields
Please fill out all applicable fields. After you have filled out the form, please email it to officecoordinator.fasa@concordia.ca. If direct deposit information or SIN number is not included on the form already, please write it in your email and/or attach a void cheque.
This expense is related to a:

SPGClub budgetOther
Name of Club/Applicant *

First NameLast Name
Email of Club/Applicant*
example@example.com
Name of Payee*

First NameLast Name
Email of Payee*
example@example.com
Address of Payee*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Amount*
Social Insurance Number*
Email to officecoordinator.fasa@concordia.ca if preferred. If you do not submit your SIN the payment will be delayed and/or not processed.
Student ID
If Applicable
Employee ID
If Applicable
Reason for the Honorarium*
Void Cheque

Browse Files
*you must attach a void check NOT the banking numbers for the payment to be deposited Cancelof
Should be Empty:

Honorarium Form