Expense Reimbursement Request

Important Instructions:

All purchases must be pre-approved by executives.
All expenses will be paid only by cheque.
If cash has to be paid, reimbursement will be on an expense claim form approved by a respective level of authority.
It is MANDATORY to attach receipts/invoices and mention the GST amount separately for claiming a refund from Government.

Company
This field is for validation purposes and should be left unchanged.
Submission Date*
MM slash DD slash YYYY
Submitter's Name*
First Last
Submitter's Email*
Phone*
Person Pre-Authorizing the expense*
Specify who authorized the spending on behalf of Gujarati Mandal of Calgary.
Event Category*
Event / Purpose*
Number of Expense Items*
If you have more than one expense item please select total item no.
Expense-1 Date*
MM slash DD slash YYYY
Expense-1 Description*
Enter Supplier/Shop name & purpose in brief
Purchase-1 Total*

Enter total purchase cost excluding GST
GST-1 Total*

Enter total GST
Upload receipt For Expense-1*
Drop files here or

Accepted file types: jpg, jpeg, hevc, heif, gif, png, pdf, Max. file size: 20 MB, Max. files: 4.
After attaching a picture or scanned copy of your receipts please submit original receipts to the Treasurer for audit purpose.
Expense-2 Date*
MM slash DD slash YYYY
Expense-2 Description*
Enter Supplier/Shop name & purpose in brief
Purchase-2 Total*

Enter total purchase cost excluding GST
GST-2 Total*

Enter total GST
Upload receipt For Expense-2*
Drop files here or

Accepted file types: jpg, jpeg, hevc, heif, gif, png, pdf, Max. file size: 20 MB, Max. files: 4.
After attaching a picture or scanned copy of your receipts please submit original receipts to the Treasurer for audit purpose.
Expense-3 Date*
MM slash DD slash YYYY
Expense-3 Description*
Enter Supplier/Shop name & purpose in brief
Purchase-3 Total*

Enter total purchase cost excluding GST
GST-3 Total*

Enter total GST
Upload receipt For Expense-3*
Drop files here or

Accepted file types: jpg, jpeg, hevc, heif, gif, png, pdf, Max. file size: 20 MB, Max. files: 4.
After attaching a picture or scanned copy of your receipts please submit original receipts to the Treasurer for audit purpose.
Expense-4 Date*
MM slash DD slash YYYY
Expense-4 Description*
Enter Supplier/Shop name & purpose in brief
Purchase-4 Total*

Enter total purchase cost excluding GST
GST-4 Total*

Enter total GST
Upload receipt For Expense-4*
Drop files here or

Accepted file types: jpg, jpeg, hevc, heif, gif, png, pdf, Max. file size: 20 MB, Max. files: 4.
After attaching a picture or scanned copy of your receipts please submit original receipts to the Treasurer for audit purpose.
Expense-5 Date*
MM slash DD slash YYYY
Expense-5 Description*
Enter Supplier/Shop name & purpose in brief
Purchase-5 Total*

Enter total purchase cost excluding GST
GST-5 Total*

Enter total GST
Upload receipt For Expense-5*
Drop files here or

Accepted file types: jpg, jpeg, hevc, heif, gif, png, pdf, Max. file size: 20 MB, Max. files: 4.
After attaching a picture or scanned copy of your receipts please submit original receipts to the Treasurer for audit purpose.
Additional Notes
Grand Total
$ 0.00 CAD
Please verify your total with above grand total
*
- Select All
- I certify that all of the information above is to the best of my knowledge and true, correct and complete.
- Hereby, I agree to provide original receipts to the Treasurer while collecting the Cheque towards completing this transaction.
This field is hidden when viewing the form
- Hereby, I agree to provide original receipts to the Treasurer while collecting the Cheque towards completing this transaction.