Expense Form - First Dawn Eastern Edge Regional Council

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This field is for validation purposes and should be left unchanged.

Meeting/Event*

Indicate the Division or Team, if applicable

Date of Meeting/Event*

Name*

First Last

Address*

Street Address Address Line 2 City Province Postal Code

Phone*

Ext.

Email*

Pastoral Charge/Community of Faith Represented*

List Members traveling with you (if applicable)

Destination From*

Destination To*

Enter the total number of km driven (including return if applicable)*

Calculated Mileage Expense (Receipts not required)

@ $0.35 per km

Accommodations (Receipts Attached)

Meals (Receipts Attached)

Air Fare (Receipts Attached)

Other Expense (Receipts Attached)

Total Calculated

The submitted expense form will be reviewed by the Finance Chair for approval.

File Upload of Receipts

Drop files here or

Max. file size: 64 MB.

Comments (optional)

Donation

Enter Gift Amount

I direct that this amount of the funds to which I am entitled by way of this reimbursement be transferred to the First Dawn Eastern Edge Regional Council as my gift. The usage of the donated funds will be determined by the Division of Finance and Administrative Resources each year as per the needs of the Region. A Charitable Receipt will be issued.

Signature

First Last

Thank you. You will receive a tax receipt for this donation.

Approval

Following approval, the name field below can be completed by an admin

Approved by

Finance Chair

First Last

Expense Form – First Dawn Eastern Edge Regional Council

Donation

Approval

United Church of Canada News

Expense Form – First Dawn Eastern Edge Regional Council

Donation

Approval

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United Church of Canada News