Honoraria Form

Honoraria Form

Per UVA policy FIN-002, "Payment for Academic Services" An Honorarium is a token of
appreciation paid to an individual for services performed for which payment is not required. The
services involved vary but are generally associated with oral presentations made at University
sponsored functions. This is an informal arrangement without contract or invoicing. Policy FIN-014
governs "Honorarium Payments to Non-Employees Including Short-term, Non-Immigrant
Alien Visitors". Link - Fin-014

1 Start 2 Complete

Requestor Name *

Requestor E-mail *

Recipient full legal name *

Recipient Organization ( list N/A if not applicable)

Recipient Address

Is Recipient a Foreign National?

Yes

All Foreign nations with B1, B2, WB, or WT VISA must complete signature block on "Approval for Honoraria" form. See FIN-014

Date of Event *

Month

Day

Year

Amount *

Amounts over $2,000 require signature & approval by A&S Dean

PTAO / Worktag *

Purpose of Honorarium *

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