ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
2
District 72 Toastmasters0.5Expense / Mileage Claim Form
3
Expense Claims Must be typed
4
NameBank Account Number for this claim
(We only pay by internet transfer)
5
Role
6
Phone NumberPayee Name
(if paying someone else)
7
Email
8
9
DATEDETAILS
(Company name on receipt)		RECEIPT TOTALKilometresDESCRIPTION
(Description of what is being claimed; e.g. parking)
10
11
12
13
14
15
16
17
18
 - Total kms
19
 $ - Total kms x 50 cents/km
20
Formulas *Please don't change* $ - Total Receipts
21
 $ - TOTAL AMOUNT CLAIMED
22
23
I certify that these expenses were properly incurred by me in the execution of my duties as a District Officer, that the expenditure is within my budget allocation and that these expenses will not be reimbursed by any other party.
24
25
Signed:Date:
26
27
28
EXPENSE CLAIM APPROVAL SECTION
29
30
First Level ApprovalApproved by:DateName & SignatureBudget Coding
31
Division, Area & Club Expenses / ClaimsDivision Director
32
District Conference ExpensesConference Chair
33
Second Level Approval
34
(1) Approvals as above
(2) Claim forwarded to Finance Manager to arrange second level approvals.

Top Table Officers send their claims direct to the Finance Manager
District Director
35
Program Quality Director
36
Club Growth Director
37
District Finance Manager
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100