Honorarium Request
Once filled, this form will automatically be sent to your team leader for approval
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Recipient Name
*
First Name
Last Name
Is the recipient a resident of Canada?
*
Yes
No
It's difficult to issue honorariums to non-residents of Canada.
Please come talk to the Finance Department about how to handle this.
Provide a detailed description of what the honorarium is for and the details of the services being performed
*
Amount of Honorarium Requested
*
Recipient Address - required if $500 or more
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Team Leader Name
*
First Name
Last Name
Team Leader Email Address
*
example@example.com
Submit
Should be Empty: