TRAVEL COST REIMBURSEMENT SHEET by callmemelo

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									                                           TRANSPORT COSTS REIMBURSEMENT SHEET
For the participant of the event: .................................................................................……………………......................................
Held on (date) .......................................................in .................................................................…………………...........…...........
Organizer (Grantee / Partner of IVF) : …………..…..…………………..……….. Address (city+country): ………….…..……
Name of the passenger (Participant): …………………………………………………………….................................................
Residence: ………………………………………...........................................…………...............Country:...........……….............

A/         Train, bus, air, ship transportation
           (i.e. reimbursement based on enclosed originals of transport tickets)

   Date of               Date of                                                                                       Currency on
                                                         From                                    To                                             Price of ticket
  departure              arrival                                                                                          ticket




                                                             TOTAL


In order to get reimbursed, the originals of tickets must be delivered to the Fund. The grantee (organizer) is obliged to arrange
this matter with the passenger.

B/         Private car
           (Please note that IVF can only reimburse for using private cars. Use of office cars is considered “own in-kind
           contribution” and can not be reimbursed)

           Type: ....................……………………..................... License plate no.: ............….....................
           Consumption per kilometer: ..................................... litres
           Official reimbursement per 1 km (according to the law): currency ................ amount:………………

Names of other persons travelling in this car: .....................………………............................…………

                                                                                                                                  *** read note under table
   Date of                Date of
                                                       From                              To                       km
  departure               arrival                                                                                                 Currency               Amount




                                              TOTAL                                                                                    X


Hereby I declare, that I have used private car as specified in the table above, and [mark a) or b) ]

           a) I ask for the reimbursement of the amount …………….. for ……. km as specified in the table
           b) I ask for reimbursement of the amount ........................... as the equivalent of the costs of train / bus (underline one)
           and I enclose confirmation about the ticket price from the provider of transport services.

Hereby I confirm the receipt of:                           currency: .............. amount: ……..…………
Signature of the participant (receiver of payment) ..............................................
In ..........………………………......... date:............................……...

Approved by: name & signature of the representative of the organizer (Grantee / Partner of IVF ) ……………………………

								
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