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					                                                               Canadian Interuniversity Sport
                                                                                TRAVEL EXPENSE CLAIM FORM



NAME:                                                                                        Signature:

APPROVED BY:                                                                                 Approval signature:

DATE OF TRAVEL:                                                                              Purpose of Travel:

Please separate expenses by Province                                                         Destination:


ONTARIO only * RECEIPTS                                                RECEIPT AMT.                                                                          CIS USE ONLY
Account / Description* HST 13 %                                  (please attach original receipts)                 TOTAL          ACCT #         PST - 82%            GST - 2.5%            SUB
Air Fare                                                                                                              $0.00                             $0.00                 $0.00           $0.00
Accommodation                               # Days                                                                    $0.00                             $0.00                 $0.00           $0.00
Meals(B:$10 L: $12 D: $21)                                   $0.00                                                    $0.00                             $0.00                 $0.00           $0.00
Taxis, Parking, Rental Cars,etc.            # KLM            $0.00                                                    $0.00                             $0.00                 $0.00           $0.00
KM driven Rate.32 ..                                         $0.00                                                    $0.00                             $0.00                 $0.00           $0.00
Incidentals                                                                                                           $0.00                             $0.00                 $0.00           $0.00
                                                                                                                      $0.00                             $0.00                 $0.00           $0.00
TOTAL (1)                                                                                                             $0.00                             $0.00                 $0.00           $0.00

QUEBEC only * RECEIPTS                                                 RECEIPT AMT.                                                                          CIS USE ONLY
Account / Description * GST 5% & QST 7.5%                        (please attach original receipts)                 TOTAL          ACCT #                              GST - 2.5%            SUB
Air Fare                                                                                                              $0.00                                                   $0.00           $0.00
Accommodation                               # Days                                                                    $0.00                                                   $0.00           $0.00
Meals(B:$10 L: $12 D: $21)# Days                             $0.00                                                    $0.00                                                   $0.00           $0.00
Taxis, Parking, Rental Cars,etc.            # KLM                                                                     $0.00                                                   $0.00           $0.00
KM driven Rate.32 ..                                         $0.00                                                    $0.00                                                   $0.00           $0.00
Incidentals                                                                                                           $0.00                                                   $0.00           $0.00
                                                                                                                      $0.00                                                   $0.00           $0.00
TOTAL (2)                                                                                                             $0.00                                                   $0.00           $0.00
ALBERTA ONLY RECEIPTS                                                  RECEIPT AMT.                                                                          CIS USE ONLY
Account / Description * Only GST 5%                              (please attach original receipts)                 TOTAL          ACCT #                              GST - 2.5%            SUB
Air Fare                                                                                                              $0.00                                                   $0.00           $0.00
Accommodation                               2 Days                                                                    $0.00                                                   $0.00           $0.00
Meals(B:$10 L: $12 D: $21)# Days                             $0.00                                                    $0.00                                                   $0.00           $0.00
Taxis, Parking, Rental Cars,etc.            # KLM                                                                     $0.00                                                   $0.00           $0.00
KM driven Rate.32 ..                                         $0.00                                                    $0.00                                                   $0.00           $0.00
Incidentals                                                                                                           $0.00                                                   $0.00           $0.00
                                                                                                                      $0.00                                                   $0.00           $0.00
TOTAL (3)                                                                                                             $0.00                                                   $0.00           $0.00
British Columbia                                                       RECEIPT AMT.                                                                          CIS USE ONLY
Account / Description* HST 12 %                                  (please attach original receipts)                 TOTAL          ACCT #          PST 57%             GST - 2.5%            SUB
Air Fare                                                                                                              $0.00                            $0.00                  $0.00           $0.00
Accommodation                               # Days                                                                    $0.00                            $0.00                  $0.00           $0.00
Meals(B:$10 L: $12 D: $21)# Days                             $0.00                                                    $0.00                            $0.00                  $0.00           $0.00
Taxis, Parking, Rental Cars,etc.            # KLM                                                                     $0.00                            $0.00                  $0.00           $0.00
KM driven Rate.32 ..                                         $0.00                                                    $0.00                            $0.00                  $0.00           $0.00
Incidentals                                                                                                           $0.00                            $0.00                  $0.00           $0.00
                                                                                                                      $0.00                            $0.00                  $0.00           $0.00
TOTAL (4)                                                                                                             $0.00                            $0.00                  $0.00           $0.00

Other Provinces/ Foreign Expenses                                      RECEIPT AMT.                                                                          CIS USE ONLY
Account / Description                                            (please attach original receipts)                 TOTAL          ACCT #                              GST - 2.5%            SUB
Air Fare                                                                                                              $0.00                                                                   $0.00
Accommodation                               # Days                                                                    $0.00                                                                   $0.00
Meals(B:$10 L: $12 D: $21)# Days                             $0.00                                                    $0.00                                                                   $0.00
Taxis, Parking, Rental Cars,etc.            # KLM                                                                     $0.00                                                                   $0.00
KM driven Rate.32 ..                                         $0.00                                                    $0.00                                                                   $0.00
Incidentals                                                                                                           $0.00                                                                   $0.00
                                                                                                                      $0.00                                                                   $0.00
TOTAL (5)                                                                                                             $0.00                                                    $0.00          $0.00


GRAND TOTAL ( 1+2+3+4+5) :                                                                                            $0.00                              $0.00                 $0.00             $0.00

(6) Advance                                                           TOTAL (6)

Total Amount Due           ( Refund Amount Due )                                                                      $0.00
For Travel Policies - http://english.cis-sic.ca/information/members_info/pdfs/pdf_bylaws_policies_procedures/10-11/12_Policy_80.10-80.30_Admin-_travel-_conflict_of_inter-_Privacy_2010-11.pdf
Note: attach Receipts to back of claim

Expense reports must be submitted 15 days after the trip / expense occurs.                                                                                        Note: Credit Card slips are not
Please send completed report to: Canadian Interuniversity Sport, 801 King Edward Ave, Suite N205, Ottawa, ON K1N 6N5                                              original receipts
Attn: Debbie Villeneuve              villeneuve@universitysport.ca           613-562-1670 ext. 24                                                                 Please input one receipt per box.
Address to send the payment to:                                                                                                                                   *Names of persons dining
                                                                                                                                                                  must be listed on back of meal
                                                                                                                                                                  receipts




                        2/14/2012                                                                                                                                           321d063d-dea3-4d04-8845-c31535adb5a1.xls   Page 1

				
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