Honorarium Requisition
Print Form
We recommend completing the form electronically to take advantage of field formats, drop-down lists and totaling.
Instructions:
1) For a payment to an individual that is not in contravention of contracting out provisions of a collective agreement, is infrequent
and one-time in nature, and is no more than $1,000.00. Payments which may meet the criteria include payments to Elders or
Research Subjects.
2) The Payroll Department may request that an "Employment vs. Contracted Services Questionnaire" be completed if it is not clear that
the payment meets the definition of an honorarium.
3) Ensure all required fields are completed and then forward the form to Payroll, E70 - Administration Building.
4) Please allow 10 working days for processing from receipt in Payroll.
Surname
(Required)
First Name
(Required)
Preferred
Name
Middle
Name
Social Insurance
Number (Required)
Date of Birth
Employee ID
(If Applicable)
Residential or Off-Campus
Business Address
City/Town
Prov/State
Postal/Zip Code
Country
The cheque will be mailed to the address noted above. We will not mail to a campus address.
CFOAPA - Required Coding
Item # Cht(1)
Fund(6)
1
Org(4)
Acct(5)
Optional Coding
Prg(4)
Acty(5)
AMOUNT
60208
Earn Code
720
1
1
1
TOTAL
Item #
Certification:
Description / Explanation of University Business-Related Honorarium Expense - reference the Item #(s) from above
Your signature indicates certification as to the appropriateness and reasonableness of the amount being paid.
You also certify that, when required, a contract or approved template has been properly executed, in accordance with the
university's Signing Authority policy, and is on file in your department or in Purchasing Services, and that the service has
been received.
Requisitioner's Signature
Prepared By / For Information Contact (Please Print)
Date
Department / College
Phone
Approval: Your signature indicates approval as to the appropriateness and reasonableness of the expenses being claimed.
To the best of my knowledge, any expenses on this form identified as Tri-Agency related charges meet eligibility and compliance
requirements of the Tri-Agency and the University.
Approver's Signature
Please Print Name
Title
Date
Institutional Approval: (only required if any expenses are being charged to a Tri-Agency fund.)
Inst. Appr. Signature
Print Name
Date