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PLEASE MAKE A COPY OF THIS FORM BEFORE FILLING IT OUT
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Curling Ontario - Expense Request Form
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Expenses must be submit to Curling Ontario Department Lead within 30 days of an expense being incurred. All receipts must be attched. Cheques are processed on the 15th and 30th of each month.
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Please fill in red boxes where applicable. Contact the respective Department Lead if you have any questions.
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Name:
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Address:
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Reason for expenses:
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Dates of expenses/event:
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ItemsReceipt Required (check off when submitted)Item Total
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Travel
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Type:Amount:
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Type:Amount:$0.00
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Type:Amount:$0.00
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Type:Amount:$0.00
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Mileage:
km x
0.45$0.00$0.00
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*if multiple trips please attach summary
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Accommodation
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Total Charge:$0.00
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*Hotels must be pre-booked by Curling Ontario staff and through the Curling Ontario preferred provider
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Meals (per diem)
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Breakfast ($10)
Number of Breakfasts:
010$0.00
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Lunch ($15)
Number of Lunches:
015$0.00
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Dinner ($25)
Number of Dinners:
025$0.00
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Miscellaneous
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HonorariumAmount:
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Other (Specify):Amount:
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Other (Specify):Amount:
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Subtotal of Expenses:$0.00
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