CANADIAN FEDERATION OF UNIVERSITY WOMEN

ATLANTIC  REGIONAL COUNCIL

EXPENSE CLAIM FORM

 

 

 

NAME__________________________________________________________________

 

POSITION______________________________________________________________

 

*** Please attach receipts for all expenses.

 

Kindly send this form and receipts to the VP Atlantic for authorization.  They will then be forwarded to the ARC Secretary-Treasurer who will issue the payment cheque.

 

  DATE                                   EXPENSE CATEGORY                              AMOUNT

 

___________         _______________________________________                          ____________

 

___________         _______________________________________                          ____________

 

___________         _______________________________________                           ____________

 

___________         _______________________________________                          ____________

 

TOTAL EXPENSES FOR REIMBURSEMENT                                       $____________

 

MAKE CHEQUE PAYABLE TO:  Name            _____________________________________

 

                                                    Address     ______________________________________

 

                                                                      ______________________________________

               

                                                                        ______________________________________

 

______________________________________                       _____________________________

                      Signature                                                                 Date

 

For Office Use:                                 Approval___________________________________

                                                                                          VP Atlantic

Cheque # _________   Date Issued__________________________________________