Honorarium Claim – CBEEN Online

Use this form to submit for Honoraria for CBEEN Programs or Events as authorized by CBEEN in advance.

Name of event/activity/workshop for which you are receiving an honorarium:*
Date(s) of event/activity or workshop*
CBEEN Contact Who asked you to submit
Honorarium Amount Claimed:*
Honoraria for:*
- Presenting
- Facilitating
- Hosting
- Other (if selected please note below)
Name*
First Last
Organization or Business Name if applicable
Email*
Phone*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Business Number or SIN please preface with BN or SIN
ie BN 123254555 or SIN 222 333 555
Are you registered for GST? If so, we will add this to the total amount.
Payment should be made in name of:
- Individual Name
- Business or Organizational Name
Preferred Payment Method (choose 1)
- EFT (Direct Deposit)
- Cheque by Mail (will take longer)
If you aren't already set up with us for electronic payments, please upload a voided cheque or banking information form for direct deposit.
Drop files here or

Max. file size: 32 MB.
Can upload your own invoice if you have
Drop files here or

Max. file size: 32 MB.
Any other comments or notes