Faculty Content Creation Honorarium Form

CME Content Creation Honorarium Request Form 2025

Please note that we cannot make honorarium payments to non-immigrant visa holders. It is illegal to pay a non-immigrant visa holder if the payee is not employed by the payor. If you are legally able to accept the honorarium, please also include your most updated form W9 signed within the last one year and a voided check for ACH payment to ensure you receive the payments in a timely manner.
Faculty Name*

First NameLast Name
Email*
example@example.com
Content Type*
Description of Content Contributed*
Please provide the topic/title of of content or other relevant details.
Date content submitted to our CME office*

MonthDayYear
Date
If an honorarium is provided (please select an option from below). Please note that we no longer pay honorarium with a check. All payments will be made by Direct Deposits only*

I will donate my honorarium to BTF to support the Cancer Hospital in NepalSend me the full amount of honorarium via direct deposit. I am a US citizen or permanent resident who is eligible to accept the honorarium payment from BinaytaraOther
Direct desposits are processed weekly on Wednesdays. Reimbursement and honorarium requests received by Friday are processed the next Wednesday.

We make every efforts to process reimbursements and honoraria in time. However, factors such as incomplete Form W9 (only required if you are accepting honorarium), incorrect bank details, etc. delay the processing.

Please note that:
- We are unable donate the honorarium to another organization on your behalf.
- We can not pay another entity or individual for services provided by you. The form W9 and bank account should match the faculty name.
- We are unable to pay honorarium or reimbursements in the form of a gift card.
- We are required by law to report the honorarium payments to the IRS. We issue a form 1099 at the year end to all recipients who meet the threshold.
Please upload your completed form W9 (March 2024 version)*

Browse Files
The IRS updated the form W9 in March 2024. We require the latest version of the W9 for honorarium payment. Please download the blank form W9 here - https://www.irs.gov/pub/irs-pdf/fw9.pdf Cancelof
Please upload a voided check to send your ACH payment*

Browse Files

Cancelof
Where should we mail the donation receipt to? (applicable only if donating honoraria)

Street Address

Street Address Line 2

CityState

Zip Code
Any additional instructions?
Please type if you have any additional instructions such as the check to be made payable to a different person than you.
By signing below, you agree that you are a US citizen or permanent resident legally allowed to accept the honorarium payment. *

Clear
Should be Empty:

CME Content Creation Honorarium Request Form 2025