Expenses & Claims

Name *

Email Address *

Place of Purchase *

Date of Purchase *

Amount Spent (inc. GST) *

AUD

Type of claimReimbursement ( Purchased with personal finances eg. Cash or card etc.)Receipt Only ( Purchased with company finances eg. Petty cash, credit card etc.)Purchase (Please contact Vicky NOW to action payment)Travel (Pre-Approved Travel Plans ONLY, otherwise email Chris & Vicky))

Type of Purchase

Explanation of purchase *

This is an IT/Audio/Video Expense over $30

Brand

Model

Serial Number

Brief Description

Approval Method *ManagementPart of RoleHow was this purchase authorised?

Approving Officer

Upload file *

Drag and Drop (or) Choose Files

Please upload your tax invoice, eftpos receipts may not be reimbursed or approved as they do not provide enough information for accounting purposes.

Start Odometer *Please enter Odometer at the beginning of your travel.

End Odometer *Please enter Odometer at the end of your travel.

Distance Travelled (Km)

Travel Calculated

Discrepancy (Needs checking if not 0)

Brief additional travel notes.

Please sign if you agree to the following:

Start signing your signature here

This submission will be reviewed by staff from The van Diemen Project before being approved and processed. If there are any questions about the claim you have made, you will be contacted for further questions and clarification. I also agree that the details provided on this form are accurate and fair for the purchased that is being claimed.

Please do not fill in this field.

Address

53 Elizabeth Street,

Launceston Tasmania 7250

Phone

(03) 6349 1919

Expenses & Claims

Address

Phone

Follow Us