Printable Form | Commonly Asked Questions | Memorandum

THE CITY UNIVERSITY OF NEW YORK

Annual Report of Receipt of Honoraria

Employee’s Name ___________________________________

(April 1, 2005 - March 31, 2006 ) Year ________________________________

Payroll Title/ Functional Title _________________________________

College_____________________________________

Sources of Honorarium _________________________________________

Amount of Honorarium_______________________________________

Date of Receipt__________________________________________

Nature of Service__________________________________________

Place Service Performed____________________________________