Honoraria Claim Form

This field is for validation purposes and should be left unchanged.

Member Information

Email(Required)

Used for confirmation and follow-up if needed.

E-transfer email for payment(Required)

This is the email address payments will be sent to. Please ensure it accepts Interac e-transfers.

Quarterly Honoraria

Quarter being submitted(Required)

Role held during quarter(Required)

If you hold multiple roles, select only the highest-paid role. Advisors other than the Indigenous Advisory Committee members, please submit an hourly claim.

Per-Meeting Hourly Honoraria

Meeting name / purpose(Required)

Meeting duration (hours)(Required)

Please enter a number less than or equal to 8.

Enter the total meeting time attended. Decimals are allowed (e.g. 1.5).

Hourly honoraria amount(Required)

Price: $ 0.00 CAD

Meeting expense reimbursement

Members may request reimbursement for eligible meeting-related expenses.

Total expense claim amount(Required)

$0 if nothing to claim, otherwise please add all reimbursements, including Transit/Parking, Dependent Care, and other reimbursements. Include any taxes, and total the claim amount here (not including any honoraria claimed)

Receipts

Drop files here or

Max. file size: 128 MB.

Confirmation

Total amount (auto-calculated)

This total reflects honoraria and/or reimbursements included in this submission. Payment may be modified by staff based on pro-rata.