Log in and this form will be prefilled with your profile data (like email address and default department).

Please see Procedure Overview at the bottom of this form for instructions and next steps.

Required fields are shaded yellow and marked with a red asterisk.

Triage Information
Please call to confirm. Shared Services will expedite processing according to University best practices.
Department and Budget Information
A confirmation will be sent to this address.
(Format: xxx-xxx-xxxxxx)
Payment Information
If the foreign national payee is not able to claim a tax treaty, 30% will be deducted from the honorarium payment. Does your department wish to cover that 30% by grossing up the payment amount?
You can also copy and paste into this box.

You may add up to three documents. Do not attach documents that contain sensitive data such as SSN.

Files must be less than 4 MB.
Allowed file types: pdf doc docx xls xlsx.
Files must be less than 4 MB.
Allowed file types: pdf doc docx xls xlsx.
Files must be less than 4 MB.
Allowed file types: rtf pdf doc docx xls xlsx.

Submission of this form serves as confirmation that pertinent approvals are on file in department.

Please Note: This form may be used for payments to individuals or companies. For reimbursements, please use the reimbursement form.

Procedure Overview

  1. Intake form is completed by unit administrative staff.  Submitter receives confirmation email, including FMRT ("RT") ticket number.  All further correspondence regarding the request occurs through RT.
  2. Shared Services contacts payee for tax identification, address, etc., as appropriate.  Please note: Tax identification numbers should never be submitted through email or RT.  Shared Services collects these through phone or fax.  
  3. Once all information has been collected, Shared Services submits payment through Ariba, includes the Ariba reference number in the "Reference" field of the RT ticket, then closes/resolves the ticket in RT.  Payment approvals are tracked through Ariba

Please note: Honorarium payments may not be sent to the payee's mailing address prior to the last day of service.  Checks may, however, be forwarded to the department prior to the last day of service.

Relevant Services: