HTML Preview Requisition For Payment Form page number 1.
Please answer the questions below to determine the type of payment for the RA recipient. The types of payments are defined as follows:
Research Stipend: The primary purpose of the award is to further the education and training of the student in his or her individual capacity. (See CRA
Interpretation Bulletin IT-75R4, 11-13)
Research Salary: The primary purpose of the payment is for compensation related to the performance of research-related services. (See CRA Interpretation
Bulletin IT-75R4, 14-15 and Income Tax Act Section 5(1))
SECTION B - RESEARCH ASSISTANTSHIP QUESTIONNAIRE
1. Will the RA recipient have primary responsibility for how the research is designed, executed and reported?
No - I will have primary control over all aspects of the research and the recipient will work largely under my direction.
Yes - I will primarily provide guidance or mentorship.
2. Is the recipient intended to receive the full amount of the payment regardless of the hours worked or any delivered results?
No - The payment is compensation for assistance on a research project and the recipient is accountable for the hours and/or work.
Yes - The primary purpose of the payment is to further the education and training of the recipient.
RA Payment Type:
For research assistant type payments, an answer of "Yes" to both questions will result in a STIPEND payment type unless the student is not registered in the term of payment.
For RA Payment types of "Salary" or for TA payments, you must fill in the Rate of Pay, Total Hours, and answer the Employer Source Deductions question.
Graduate Student Requisition for Payment
This form is used to authorize Research Assistantship Stipends, Research Assistantship Salaries, and Departmentally funded TA
payments. Please complete the form electronically, then print, sign and return the form to the Faculty of Graduate and
Postdoctoral Affairs 512 Tory. Original signatures only. The deadline for submission is two full business days before the 15th
and 30th of each month.
STUDENT NUMBER
SECTION A - GENERAL STUDENT INFORMATION
LAST NAME
FIRST NAME
NOT REG'D
PART TIME
FULL TIME
*REGISTRATION STATUS IN TERM OF PAYMENT
PROGRAM DEPARTMENT
*PAYMENT TYPE:
TEACHING ASSISTANTSHIP (DEPARTMENTALLY FUNDED ONLY)
RESEARCH ASSISTANTSHIP
SECTION C - TERMS OF PAYMENT
FUND
ORGN
ACCOUNT ACTIVITY
TOTAL AMOUNT DUE
RATE OF PAY/HOURLY RATE
TOTAL HOURS
NO
YES
Payment Amount to Include Employer
Source Deductions?
(see instructions for further details)
SECTION D - AUTHORIZATION OF PAYMENT
RECURRING PAYMENT (must cover full months)
ONE TIME PAYMENT (on next pay date after End Date)
PAYMENT FREQUENCY
START DATE END DATE
PRINT SIGNING AUTHORITY NAME DEPARTMENT
SIGNING AUTHORITY ID
SIGNING AUTHORITY SIGNATURE
DATE
PHONE EXT.
Spring
Winter
Fall
PAYMENT PERIOD/TERM
20 20
20
*For one time payments, the END DATE cannot be a future date.
The personal information requested on this form is collected in accordance with Sections 38(2) and 41(1) of the Freedom of Information and Protection of Privacy Act (FIPPA), R.S.O. 1990, c.F.31 as amended. The information
provided will not be used for any purposes other than those stated upon this form unless the applicant provides express written consent. Should you have any questions concerning your personal information, please contact the
Assistant Director, Employee Services, FIPPA Representative for Human Resources, Room 507 Robertson Hall, (613)520-2600 x8635. Carleton University is fully compliant with FIPPA and endeavours at all times to treat
your personal information in accordance with this law.
Manual Pay Form
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