OCC Arb Barg Expense Form

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OCC Arb Barg Expense Form Powered By Docstoc
					         ONTARIO COMMUNICATIONS COUNCIL ARBITRATION / BARGAINING FUND                                                (Expense Claim Report Form 09-03-16)

Date of Claim                                                            Local #                              Employer


Payment should be sent to:                                                                     Name of person incurring expense

Name                                                                                           Claim is for       Arbitration           Collective Bargaining

Address                                                                                        If arbitration, please specify: Grievance #

                                                                                               Name of Grievor:

                                                                                               If witness, check here
                  City / Town                                       Postal code

                     DATE        WAGES        PER        HOTEL          PUBLIC       PERSONAL PARKING OTHER               TOTAL         EXPLANATION
                  (yyyy-mm-dd)                DIEM       (receipt   TRANSPORT           CAR    (receipt (specify)
                                                          req'd)     (receipt req'd)  (.48/km)  req'd)

Sunday                                                                                                                          $0.00
Monday                                                                                                                          $0.00
Tuesday                                                                                                                         $0.00
Wednesday                                                                                                                       $0.00
Thursday                                                                                                                        $0.00
Friday                                                                                                                          $0.00
Saturday                                                                                                                        $0.00
Total                               $0.00       $0.00       $0.00            $0.00     $0.00         $0.00        $0.00         $0.00
Transportation details:                                                                                       FOR OCC USE ONLY
    Air               Train         Personal Car            Leased Vehicle

If personal vehicle used, please indicate kilometres travelled, including point of             Notes:
origin and destination

                                                                                               CHEQUE #




Local Secretary - Treasurer                             National Representative                               Approved by:                                 Date

				
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