Request for Honorarium for SSMU Services

Criteria

Honorarium Paid To:

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If the individual receiving the honorarium would like to pick the honorarium cheque from the SSMU front desk.
If the individual receiving the honorarium would like to pick up the honorarium cheque from the SSMU front desk, please provide their email address.
Please type in all 0's if they do not have a SIN
Please type in nine zero's if they do not have a Foreign Tax identification number and provide their SIN in the field above. They recipient must have either a SIN or foreign tax identification number
Please provide the date(s) of service performed in the format (DD/MM/YYYY). If there are several dates, please separate each date with a comma.
Please provide a reason for your request in 100-150 words.
Click or drag a file to this area to upload.