ABCDEFGHIJKLMNOPQRSTUVWXYZ
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 Full Name
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 Address
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 Phone number
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 DESCRIPTION DATE
(yyyy-mm-dd) 		CURRENCY EXCHANGE RATE
Enter 1 if not needed. 		SUBTOTAL (CAD) TAXES (CAD) FINAL AMOUNT
IN CAD
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 sample data 2025/03/12 CAD 1 $ 10.00 $ 5.00 $ 15.00
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 TOTAL CANADIAN $ 10.00 $ 5.00 $ 15.00
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 INSTURCTIONS:
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 1. Complete this expense form. One row per reciept.
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2. Create a PDF of all your reciepts and boarding passes.
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3. Email this form and reciepts to linda.pires@sickkids.ca
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4. Keep all original reciepts for 1 year post reimbursement.
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