Expense Claim Form - Referees

Claim should be submitted by 31st of month along with receipts for expenditure (NB. EFTPOS RECEIPTS ARE NOT ACCEPTABLE) for processing on 20th of the following month.

Expenses are refundable on the following basis –
(a) Travel – 50c per kilometer where own personal car is being used.
(b) Accommodation – net cost of accommodation. (No personal telephone calls, or room service, etc.)

Meals – net actual cost of meals up to a maximum of $45 per day. This is broken down into;
Breakfast = $10
Lunch = $10
Dinner = $25

Receipts are only needed for Ubers, Accommodation, hire car, flights (if not booked and paid for by Squash NZ)

Any questions please get in touch with jason@squashnz.co.nz

Question Title

* Contact Information

Name

Email Address

Phone Number

Question Title

* Bank account number for payment
(Please fill this in if we haven't reimbursed you before or you have changed account)

Question Title

* Expense #1

Date

Details of expense

Amount claimed

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* Expense #1 Receipt

Please upload the receipt for this expense

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

Choose File

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* Expense #2

Date

Details of expense

Amount claimed

Question Title

* Expense #2 Receipt

Please upload the receipt for this expense

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

Choose File

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* Expense #3

Date

Details of expense

Amount claimed

Question Title

* Expense #3 Receipt

Please upload the receipt for this expense

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

Choose File

Question Title

* Expense #4

Date

Details of expense

Amount claimed

Question Title

* Expense #4 Receipt

Please upload the receipt for this expense

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

Choose File

Question Title

* Expense #5

Date

Details of expense

Amount claimed

Question Title

* Expense #5 Receipt

Please upload the receipt for this expense

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

Choose File

Question Title

* Total claim amount ($)

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* Would you like a copy of your claim emailed to you?

Yes

Expense Claim Form - Referees

Question Title

* Contact Information

Question Title

* Bank account number for payment(Please fill this in if we haven't reimbursed you before or you have changed account)

Question Title

* Expense #1

Question Title

* Expense #1 Receipt

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* Expense #2

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* Expense #2 Receipt

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* Expense #3

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* Expense #3 Receipt

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* Expense #4

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* Expense #4 Receipt

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* Expense #5

Question Title

* Expense #5 Receipt

Question Title

* Total claim amount ($)

Question Title

* Would you like a copy of your claim emailed to you?

Question Title

* If you answered yes above, please enter the email address you would like your claim copy emailed to

* Bank account number for payment
(Please fill this in if we haven't reimbursed you before or you have changed account)