HES Travel Claim Form

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* Date of Claim

Date / Time

Date

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* Claimant's Name

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* Institution or Organisation

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* Please indicate the type of expenses you are claiming

Travel (Air and Ground Travel)

Accommodation

Meals

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* Name of meeting or event

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* What is the total amount of your claim?

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* Please upload relevant receipts to support you claim

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* Please provide your bank account details.

(Note if the reimbursement is to be made to an institution please upload an invoice.)

Account Name:

BSB:

Account Number: