SSAF REIMBURSEMENT CLAIM FORM
(Please attach all tax invoices in email and lodge with Student Events Office)
CLUB NAME
EVENT NAME
EVENT DATE
SUMMARY OF EXPENSES :
RECEIPT TOTAL $
CHECKLIST….
Claim is for an approved budgeted event
All TAX INVOICES/RECEIPTS have been attached to the email of this document (eftpos receipts are not accepted)
Club bank account form has been completed for current semester OR
Cash reimbursement is required (Amounts <$100 only) - email notification will be sent to collect
“By signing, I verify that the above information is true and accurate
Signed…………………………………………………………………………Date…………………………………...
TOTAL REIMBUSED
Office use only
This section to be completed by the club member processing reimbursement in case further information is required
CONTACT NAME:
CONTACT PHONE:
Funds will be paid to the nominated bank account as per club bank form Please allow 7-10 days for processing via the University’s Finance Dept.
Total of attached receipt/s
(One receipt per line)
Total to be reimbursed
Expense item 1...
Office Use Only
$ 0.00
Office Use Only
Office Use Only
1. Save & Name File
2. Email to Student Events Office
click to sign
signature
click to edit
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