Ontario Public Service Employees Union, 100 Lesmill Road, Toronto, Ontario M3B 3P8
1-800-268-7376 / www.opseu.org
June 4, 2017Form 104
Advance Form
Please return to:
advances@opseu.org Fax: (416) 448-7450
Name:
Local #: Union #:
Home address:
Email:
Phone:
Event information (completed by staff assigned)
Meeting:
Meeting date:
Location:
Cost centre:
Event ID:
Staff assigned:
Date: (mm/dd/yyyy)
ext:
Estimated advance amount
Advance request for hotel
Amount Date (mm/dd/yyyy)
$
$
$
$
Hotel name:
Amount
B
$13
L
$19
D
$29
Date (mm/dd/yyyy)
$
$
$
$
Advance request for meals
Advance request for travel (airfare/mileage/train/taxi)
Amount Date (mm/dd/yyyy) Type
$
$
$
$
For hotel reimbursement please refer to OPSEU hotel rates and expense guidelines outlined in the call package.
Advance request for parking
Amount Date (mm/dd/yyyy)
$
$
$
$
Advance request Childcare/Attendant care
(Childcare/Attendance Care)
Amount Date (mm/dd/yyyy)
$
$
$
$
Delivery method
Personal deposit Pick-up at Regional Office
Deliver to staffMailed to home address above
Total estimated advance
amount requested $
(Name: ext.
)
* Reminder: All outstanding advance amounts will need to be reconciled prior to a new advance being issued.
If you require a human rights accommodation please download and complete the Human Rights
Accommodation Request Form from the OPSEU website or contact the Equity Unit at extension 8790.
Metro Toronto Convention Centre
Elsbeth Lumley/Karissa Chatoor
