Stipend or Honorarium Request

Note: This is for St. Olaf exempt employees only. This form is not for students, non-exempt/hourly or non-employee payments. Please see Payroll for more information.
Requested by:*
First Last
Email Address (St. Olaf Only)*
Are you filling out this form on behalf of another person?*
For example, if you are a AAA filling this out on behalf of a Department Chair, select "Yes".
- Yes
- No
What is your name?
This is the name of the person filling out the form on behalf of the requester
First Last
What is your email address?
This is the email address of the person filling out the form on behalf of the requester
Is the reason for the stipend an Academic, Athletics or Other meeting/event request?*
Note: This does not mean who is included in the stipend, but under what area of the College does this lie in general
- Academic
- Athletics
- Other
President's Leadership Team Member
Select which presidential leadership team member should approve your stipend request type of "Other".
Is this request Grant Funded?*
Unit should begin with a 4 or 5.
- Yes
- No
Company*
- 010
- 900
Unit*
Account*
If you select "Other", please provide the 5 digit account number.
- Honorarium - Faculty or Staff
- Faculty Pay (Temp Replacement)
- Other
Sub-Account
Reason For Payment / Description Of Service*
Dates or Time Period of Service*
Payment must be over the period work is performed or immediately after work is complete. This does not determine the month the stipend is to be paid for.
Please note that stipends and honorariums are excluded from compensation for retirement plan purposes.
Month(s) to be Paid*
Please note this needs to be approved by the 15th of the month it is to be paid in
- January
- February
- March
- April
- May
- June
- July
- August
- September
- October
- November
- December
Faculty or Staff Member to be Paid*
If more than one person is receiving the stipend, click on the + sign to add more lines.
Pay To Amount Per Month Sub-Account
For questions regarding the form, please contact Payroll at 507-786-3299

Pay To	Amount Per Month	Sub-Account