Travel Expense Claim Form
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1
2Form 518 - 1
TRAVEL EXPENSE CLAIM FORM
Name:
____________________________________________________ Date:______________
Address:
_______________________________________________________________________
Position:
___________________________________ School/Dept____________________________
SINGLE
DOUBLE
FULL
DATE
DESCRIPTION
KM'S
KM'S
KM'S
MEALS
OTHER
SUB TOTAL KMs
SUB TOTAL
TOTAL KMs
TOTAL
Current Single Rate: $0.
0.105
/km - Double Rate: $0.
0.21
/km - Full Rate: $0.
0.42
/km
If applicable, please provide names of car pool member(s): _______________________________
_________________________________________________________________________________
Signature of Applicant _________________________________________ Date_______________
G.L. Account Number _____________________________________________________________
Signature of Authorized Supervisor ______________________________ Date_______________
Good Spirit School Division
1
Reference Administrative Procedure 518
Page
Effective
January 13, 2014
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Parent category: Legal