Get documents about "CEIU Family Care Expense Claim Complete all sections to
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CEIU Family Care Expense Claim
Complete all sections to ensure payment of claim
Nam e of m em ber:
Address:
Postal code:
CEIU Function:
(Title of meeting, course, committee, etc. – please specify)
Period of claim : From : Date: Tim e:
To: Date: Tim e:
Claims will be processed for expenses incurred
outside norm al working hours only
The following inform ation is for CEIU internal use only and will rem ain confidential.
Care provided by: Unlicensed Caregiver * Licensed Agency / Caregiver
* payment will be made directly to the care provider
Nam e of Caregiver or Agency:
Address: Telephone:
S.I.N.: (this information is mandatory in the case of unlicensed caregivers for income tax purposes)
Sections A & B – Cost of Care
Rates: Unlicensed care
Maximum $45 / day for first Family Member and $20 / day for each additional Family Member
Maximum $30 / overnight for first Family Member and $20 for each additional Family Member
Licensed care : As billed
Fam ily m em ber(s) Age(s) child(ren)
1. Day(s) @ $ $
2. Day(s) @ $ $
3. Day(s) @ $ $
Total A $ $
1. Night(s) @ $ $
2. Night(s) @ $ $
3. Night(s) @ $ $
Total B $ $
Section C – Additional Costs
1. $
2. $
3. $
Total C $ $
Section D – Special circum stances as pre-approved
Cost as pre-approved (Attach detailed inform ation) Total D $ $
Section E – M eal allow ance
If on-site child care is not required but the child accom panies the parent, m eals will be
paid with receipts, up to a m ax of $60 per day, $40 m ax without receipts Total E $ $
Total Claim (Totals A + B + C + D + E) $ $
Please attach receipt(s)
I hereby certify that the above claim ed expenses were incurred as a direct result of attending an authorized CEIU
activity.
Signature of m em ber
CEIU/C9-08
Canada Employment and Immigration Union / Syndicat de l’emploi et de l’immigration du Canada
Explanation of the Family Care Policy
Objective Costs compensated
The objective of the CEIU’s Family Care Policy is Family care expenses will be reimbursed as
to remove one of the barriers which prevents follows:
members from participating fully in Union
activities. 1. Where the care is provided by someone other
than a licensed agency / caregiver or the
The intention is to assist members in covering spouse / companion:
additional costs incurred as a direct result of
attending an authorized CEIU activity. a) Maximum of $45 per day for the first family
member;
To achieve a maximum amount of flexibility, on
request by at least one participant, child care will b) Maximum of $20 per day for each additional
be provided on-site where Early Childhood family member;
Educated (ECE) or equivalent caregivers are
available for hire. When on-site child care is c) Maximum of $30 per night for first family
provided, caregivers will be made available for member for overnight care.
evening sessions that form part of the schedule
of events. d) Maximum of $20 per night for each
additional family member.
What is not covered 2. If care is provided by a licensed agency /
attendant, the actual cost will be reimbursed.
Family care costs that would normally occur had
the member been at his / her place of work. 3. Where child care is provided on-site, the cost
of meals (at the applicable rates) and
Family care services provided by a spouse / increased shared accommodation costs will
companion. be reimbursed.
4. Other reasonable expenses, as requested.
Who is covered
5. Upon request, consideration will be given to
Members are entitled to claim expenses related
special needs or unusual circumstances
to the care of the following family members who
resulting in costs which exceed the above
reside on a full or part-time basis with the
rates and expenses allowable. Detailed
member:
information must be provided in advance for
pre-approval.
1. A child under 19 years of age
2. A person with disabilities
3. An adult requiring care
How to claim
A completed Family Care Expense Claim form,
For what activities
accompanied by a receipt, must be submitted.
All authorized CEIU activities.
Incomplete forms will not be processed for
payment.
Canada Employment and Immigration Union / Syndicat de l’emploi et de l’immigration du Canada
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