Reimbursement claim form - QUT by lovemacromastia


									               Reimbursement Claims for Staff and Students                                                                                         Ver. 4


1. Enter Payee:
 Employee Number or
                                                           Payee *
 Student Number *
                                                                             Family Name                First Name               Second Name

 Supplier Number *                                              Supplier *

                                                                             Company / Entity Name

2. Select your Claim Type here:
                                                                         3. Go to Reimbursement Claim Form

Using this form
 1. Enter the Employee or Student Number and the name of the Payee or the Supplier Number and Name in the above. This information will filter through
 to all the forms.
 2. Select the Claim Type from the drop-down box and then click the green Arrow above to go to the Reimbursement Claim Form.
 3. The completed Reimbursement Claim Form may require accompanying information. By selecting the Claim type above, the required forms will appear.
 Please refer to the Help tab for more details.
 4. Complete all the required fields on the Reimbursement Claim Form and then click the green Arrow on the top of the form to go to the next form (if
 5. Enter the data in the fields bordered in orange on each of the required forms and use <tab> to move to the next field.
 6. Mandatory fields have been marked with *
 7. Some forms will have IMPORTANT MESSAGES at the bottom of the page. Please read these messages.
 8. A completed Reimbursement Claim Form is required for all payments to staff and students (excluding payroll and petty cash).
 9. Once completed, click the Print button at the top of the page. Print and sign the Reimbursement Claim Form and any other forms required. These can
 then be scanned and emailed to
 9a. Emailing Claims:
     - The attachment must be a *.tif or a *.pdf
     - There can only be one (1) claim per email
     - The ATTACHMENT must be named PCF_ClaimantSurname_date.tif e.g. PCF_BRYDE_270507.TIF
     - The Subject of the email must be "PCF ClaimantSurname date" e.g. PCF BRYDE 270507
     - Please remove your signature blocks especially if it contains logo's or other image files.
 10. For more help in completing this workbook, please refer to the Quick Reference Guide located on AP Online site.
             Reimbursement Claim Form
                                                                 Note: This form MUST be completed for all claims.

              Payee ID: *                                           Payee: *

  I certify that the amount claimed is due and payable as specified in this form.
                                                                                                                                               Coder's details:
                                                                                                                                      Please provide the contact details of
                                                                                                                                      the person who will code this claim.
  Claimant's Signature:                                                           Date:                                              Name

  Print Name:                                                                                                                        Extension

  Claim Details
                                                                                                                                                      Total Claimed
  Type of Claim *                                                        0                      Travel Requisition Number                               Amount $

                                                                                                                                                  $                   -

                                                                                                                                        Receipts       Claimed Amount
  Date                        Details of Claim
                                                                                                                                        Attached         $ (inc. GST)

    Responsibility                     Project              Account          Activity        Type             Campus        Entity     Claimed Amount $ (inc. GST)


Reimbursement Claim Form                                     Queensland University of Technology Confidential                                                                 Page 2

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