Office of Research and Sponsored Programs
Foundation Administration
Honorarium Payment Form
An honorarium is a payment for services for which custom or propriety forbids a price to
be set. It is a “thank you” gesture of goodwill and appreciation. It is not a previously
agreed upon payment for services. These services are not ongoing or continuous.
According to the Internal Revenue Service regulations, the amount of an honorarium is
taxable. Please complete the information requested below for processing of payment to
the recipient of the honorarium.
A 1099 form will be issued if all payments to the individual exceed $600 in a calendar
year.
Name:
SSN:
Address:
Service Rendered:
Date of Service:
Compensation:
I certify that the above services were completed, that the compensation hereby approved
for payment is appropriate to the service performed, and that the payment is a “thank
you” gesture of goodwill and appreciation.
Signature of Project Director
Rev 4/0
Date