CAIIS Honorarium Request Form

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For guest speakers for classes or virtual events: $200-$500

For larger in-person events, symposiums, workshops etc.: $500-$1,000

Email *

Name of Requestor

What is the Honorarium for? *

Guest Lecture

Keynote Address

Other:

Date of Event *

YYYY

Name of Event *

REQUIRED PAYMENT INFORMATION

Please inform recipients that they will receive an email from the College of Arts and Sciences Administrative Support Team with a link to a secure form to collect their personal information (phone number, mailing address and Social Security number).

Note: This form must be filled out in order to receive payment.

1. Please list names and emails of each recipient. *

Is the Recipient a U.S. Citizen? *

Yes

No Canadian citizen (Note Foreign Nationals will be asked to complete additional paperwork)

Don't know

Is (or was) the Recipient a UW Employee during this tax year?

Yes

Don't Know

Clear selection

Amount of Honorarium *

For multiple speakers you may email a list of names to amvn@uw.edu

Please email a letter of invitation for each recipient (Required) to amvn@uw.edu *

A copy of your responses will be emailed to the address you provided.

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