Item Date of Receipt
Amount Evidence Attached
Document Control Number 376 Version 4 (11.09.2019)
a LeasePLUS Group company
Home function/self-catering claims
Home functions are special occasions catered for by yourself at your home or other venue.
You must provide original, itemised receipts. The receipts must contain only food and drink for the specied event and not be older than
14 days prior to the function. Guests attending must include people outside your normal household.
Date of function
Reason for function
Number of guests attending
not part of usual household
Declaration
I declare the following:
• I am eligible to participate in my employer’s salary packaging program
• I have read and agree to the terms and conditions of salary packaging as set by my employer and SalaryPackagingPLUS
• I authorise payroll deductions to enable payment of the above meal entertainment expenses and administration fee
• I understand that benefit payments can only be made following deduction from my salary, and that non payment of salary will result in
non payment of the benefit if there is insufficient balance in my salary packaging account
• I acknowledge that it is my responsibility to confirm what effect, if any, this salary packaging will have on any government payments I
receive or are required to make
• I acknowledge that salary packaging may result in a reportable fringe benefit on my annual payment summary or income statement
• I acknowledge the information provided by SalaryPackagingPLUS does not constitute financial or taxation advice
• The above expenses have been paid for by myself and have not been reimbursed by my employer or any other party
• I have not already paid for the above expenses with my Meal Entertainment or Living Expense card
• I have not and will not claim the above expenses as a tax deduction
• The information provided in this form is true and correct to the best of my knowledge
• I have read and agree to the Privacy Policy which can be found at https://www.leaseplusgroup.com.au/privacy
Signed Date
OR
Use my existing
bank account
Account Name
BSB Number
Account Number
click to sign
signature
click to edit
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