Expense Claim Form

*Your payment will be received no later than 30 days from the date the expense claim form was submitted.

Required fields are marked with an asterisk*

Full Name*

Address*

City*

Province*

Postal Code*

Purpose of Travel*

Email*

Telephone*

Banking Information

If you have not previously received a payment from Ringette Canada, we won't have your banking information. If this applies to you, please note that you will be receiving a form to complete and to return to the Ringette Canada office.

If you are late in returning this document, it may result in a delay in your payment.

Travel Details

Destination

Home to Destination

Date of Departure*

Time of Departure*

Time of Arrival*

Destination to Home

Date of Return* (yyyy-mm-dd)

Time of Departure*

Time of Arrival*

Travel Expense
Please only enter numbers

Air or rail (receipts required)

Accommodation (receipts required)

Car Rental (requires prior approval and receipts)

Parking, taxis (receipts required)

Baggage Fees

Private motor vehicle (km x $0.55)

Gas

Meals
Please only enter numbers

Full Day ($75.00 per) Receipts not required.

Days

Cost

Breakfast ($15.00 per) Receipts not required.

Meals

Cost

Lunch ($20.00 per) Receipts not required.

Meals

Cost

Dinner ($40.00 per) Receipts not required.

Meals

Cost

Incidentals ($10 per / Canada) ($20 per / Outside of Canada)
This may be claimed for every night spent away from home, while travelling.

Administrative Expense
(Original Receipts Required), Please only enter numbers

Postage

Telephone

Printing and Photocopy

Stationary and Supplies

Other

Description

Total Expenses Claimed*

Attach Receipts

I have 5 receipts or less.I have more than 5 receipts.

Upload your receipts here. Maximum size per receipt 1.5MB.

Receipt 1:

Receipt 2:

Receipt 3:

Receipt 4:

Receipt 5:

Please upload all your receipts in one .zip file. Maximum file size 15MB.

Receipts in a .zip file:

For Payment

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Expense Claim Form

Territory acknowledgement

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