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Name:Date submitted:
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 EXPENSE POLICIES
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Address:
Signature of claimant:
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Expense policies cover:
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City:Postal CodeCONVENTIONS, MEETINGS, SCHOOLS ETC.
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Nature of activity:Dates of activity:
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TRANSPORTATION:
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Location of activity:If travelling by car, the rate per kilometer is currently set @ $0.67
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TransportationDestination to:Limousine or taxi service may be claimed to
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Destination from: and from airports or train stations if supported by
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MileageRate per km a receipt. Taxi fare for blind members attending
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Total # of kms: $0.67Total: meetings may be claimed. Actual cost of airfare
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OtherTotal: will be reimbursed when accompanied by a receipt.
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Accommodations (including parking if applicable)
ACCOMMODATIONS:
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Total # of Nights:Where possible use Unionized hotels. Actual costs may be
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claimed if supported by a receipt. Parking included in the Hotel bill does not need to be claimed separately
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MealsTotal # of Days:Total:
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Miscellaneous (specify)Total:
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Miscellaneous (specify)Total: MEALS:
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Expense Total$0.00When participating in authorized Union activities Members
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will be reimbursed actual costs for meal expenses (not
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Union LeaveDays/Hrs Taken:Total Union Leave:including alcoholic beverages) regardless of where the
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Days/Hrs Banked:activity takes place(in or out of Province).
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OFFICE USE ONLYUnion Leave
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Account:Total Expenses $ - Claim the number of days or hours of ULA taken.
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Indicate if the time has been used or if it is owing.
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Date Paid:Cheque #Less Advance
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 Cheque Total
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