Teacher Payment Report

Teacher/Speaker Information

Please provide as much information as possible about the Teacher/Speaker and the date of your event.

Date of Class/Lecture*

Use first date if engaged for multiple days

Name of Class/Lecture

Speaker/Teacher Name*

First NameLast Name

Teacher Email

example@example.com

Teacher Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Teacher Phone Number

Area CodePhone Number

Upload a copy of Teacher W9 form

Browse Your Own Files

PDF scans and all photo formats accepted

Amount paid for teaching/speaking fees*

Amount reimbursed for travel or supplies

Total paid to Teacher:

Calculated for you

Comments or Notes for the AQG Treasurer

(Box will expand as you type)

What happens next?

Please print a copy of this report for your records (right button below) before you submit (left button below).
You should recieve an automatic email confirmation very soon after you submit the report.
The AQG Treasurer will follow up with you if she has any questions.

Thank you for taking time to fill out the Teachers Payment Report