Honoraria Form

University of South Carolina Foundations
Honoraria/Contractual Services
Name
U.S. Citizen or Permanent Resident?
SS#
or Federal I.D.#
Yes
No
University Employee?
Yes
No
Permanent Residence
Address
Controller, University of South Carolina
(IRS Form 1099 Provided by Foundations)
Project
Name
Project Location or Site
Per Diem/Cost of Services
Detailed Explanation of Services Performed
Dates Services Performed
Project #