BROWN UNIVERSITY
HONORARIUM PAYMENT FORM
(Use for guest speakers in an amount of $5,000 or less)
INSTRUCTIONS
This form is used to pay an honorarium to an individual guest speaker for no more than $5,000. Please ensure the
guest speaker is registered as a supplier in Workday prior to processing their payment. A new guest speaker/supplier
can register here.
Please note:
• To complete for Guest Speakers who are US Residents: please attach this form to the Workday Supplier
Invoice payment request.
• To complete for Guest Speakers who are Foreign Nationals: please complete this form and report travel and
visa information in FNIS so that the Controller's Office can determine if payment is eligible for a tax treaty
benefit. Attach this form to the Workday Supplier Invoice payment request.
• Brown employees cannot be paid honorariums. If applicable, a one-time payment can be made through
Workday instead.
Is the speaker a Foreign National?
US Resident?
Location of Services:
Description of Engagement (please include business purpose):
Speaker Payment Amount:
S
peaker Expenses
Total:
Grand Total for Speaker Payment and Expenses:
Date(s) of Services:
*
* Any expenses being reimbursed, require receipts. See Visitor Travel Reimbursement Policy
Name:
Permanent/Home Address:
Address #1:
Address #2:
Address #3:
Country:
Local Address( If Different):
Address #1:
Address #2:
City/State/Zip:
City/State/Zip:
Student Group Organization:
Financial Signatory Name: Signature:
Raised Baseline
UFB Funds ( Fall Lump Sum)
Spring
