Travel Expense Policy - Alberta Association Of The Deaf Requisition For Preapproved Travel Expenses Page 4
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4Appendix B
Alberta Association of the Deaf
Travel Expense Claim Form
Approved Claimant: ______________________________ Date(s) of Travel: ________________________
Purpose:_________________________________________________________________________________
Travel Information: Mark’ Yes’ if you paid for the taxi, or ‘No’ if we will be invoiced
Yes
No
By driving your own vehicle: @ 35 cents per kilometer
Distance
Amount
To:
From:
TOTAL AMOUNT claimed
………………………………………………………………………………………..…….
$
Yes
No
By TAXI Please put the date, print your name, and the purpose on the back of the receipt
To:
From:
TOTAL AMOUNT claimed
…………………..…………………………………
GST $
$
Yes
No
AIR Travel Mark’ Yes’ if you paid for the airfare, or ‘No’ if we will be invoiced.
To:
From:
Airport Parking
TOTAL AMOUNT claimed
………………..………………………………
GST $
$
MEALS If “No”, then per diem rate applies. Ensure date, name (printed), and purpose are on the
Yes
No
f
Number of Breakfast(s) :
Date(s) :
Number of Dinner(s) :
Date(s) :
Number of Supper(s) :
Date(s) :
TOTAL AMOUNT claimed
………………..………………..………………
GST $
$
Yes
No
OTHER ITEMS NOT LISTED ABOVE (e.g. relevant purchases)
TOTAL AMOUNT claimed
……………………..……………….………………
GST $
$
GRAND TOTAL OF EXPENSE CLAIM
……………………………………
GST $
$
Less Advances (if any)
………………………………………………………………………
$
AMOUNT DUE TO CLAIMANT OR AMOUNT PAYABLE BY CLAIMANT
$
Claimant Signature:
Date:
AAD Authorization:
Date:
Date of cheque issued:
Cheque No.:
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