Financial Forms

This expense is related to a:

Other
If you are filling out the form on behalf of a:
- CLUB, please put the club name and email in the applicant section.
- SPG, please put the primary contact for the project in the applicant section.
If you are not associated to a club or SPG, please just put your name and email.
Name of Applicant

First NameLast Name
Email of Applicant
example@example.com

The Payee is who will be recieving the honorarium.

Please ensure all information is accurate.
LEGAL 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, or request to be contacted via phone. 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/Direct Deposit Form

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PDF only Cancelof
Work/Study Permit

Browse Files
*If you are an international student, please attach your Work/Study permit. This is something payroll requires when they see that your SIN starts with a "9." Cancelof
Should be Empty:

FASA Honorarium Form