Document Sample
					                                                                Faculty of Graduate Studies
                                                     External Examiner’s Expense & Honorarium Claim

                                   Return this form to: Thesis Coordinator, Faculty of Graduate Studies, York University,
                                                   283 York Lanes, 4700 Keele St. Toronto ON M3J 1P3

 External Examiner                                                    External Examiner’s Address                                      Social Insurance Number:
                                                                                                                                       (required for honorarium payment)

 Student Surname                                                      Student Given Names (s)                                          Date of Defence

 Program                                                              Degree

              Type                                                                Allowances                                                                                  Total
              Travel                      Car: $0.45@km                                                                                                   ____ km X $0.45 = $
        (please attach                    Other Air/Bus/Rail                                                                                              $
            receipt)                      Taxis (2 trips):                                                                                                $
                                          Breakfast (included in Schulich accommodation),                                                                 $
               Meals                      or per diem $9.00 max
        (please attach
            receipt)                      Lunch $13.00 max                                                                                                $
                                          Dinner $28.00 max                                                                                               $
           Lodging*                       $150 maximum                                                                                                    $
         (please attach
               Other                                                                                                                                      $
       (please specify
          and attach
                                                                                                                                     TOTAL $

* The Faculty of Graduate Studies recommends that External Examiners who stay overnight use the ELC Schulich School
of Business Hotel (on campus) at 4700 Keele St, North York, Ontario M3J 1P3, telephone # (416) 650-8300; fax # (416)
650-8333, reservations@schulich.yorku.ca. The rate at the ELC Hotel is $150.00 plus tax (includes breakfast). Graduate
Studies will not reimburse for accommodation above this amount.

York University will provide mileage reimbursement of 45 cents per kilometre, or economy air fare (whichever is less)
plus one night's accommodation and ground transportation to and from the university. Rental of automobiles is not
authorized unless a saving is evident. Meal expenses are subject to the York University per diem rate, maximum;
however, original receipts for all meals and other expenses are required in order to obtain reimbursement. Please note
that BOTH airline ticket and boarding pass are required.

If expenses were incurred in U.S. currency, please state this fact beside the amount. Withholding Tax is deducted at
source on all Honoraria.

Signature:                                                                                                                                 Date: ____________

    Protection of Privacy: Personal information in connection with this form is collected under the authority of Freedom of Information and Protection of Privacy Act and The York University Act, 1965 for
    educational, administrative and statistical purposes. The information will be used to process your enrolment and registration in academic programs, to record and track your academic progress; and
    for related record-keeping purposes. If you have any questions about the collection of this information by York University, please contact Information and Privacy Coordinator, York University, N926
    Ross, 4700 Keele St, Toronto, Ontario, M3J 1P3.

                                                                                                                                                            November 2008
November 2008