Football Queensland Referee Department Invoice
All invoice are to be in by COB Monday to be paid fortnightly, if they are late they will be paid in the following pay period. All Assessments, Mentoring and Instructing invoices will only be paid on receipt of relevant paperwork. You can put multiple jobs on one invoice.
Date Submitted
*
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Month
-
Day
Year
Date
Invoice Number
*
Please ensure they are different for each invoice.
Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Region
*
NPL - EF02
FQPL
Metro
Sunshine Coast
South Coast (Gold Coast)
Darling Downs
Wide Bay
Central Queensland
Whitsunday Coast
North Queensland (Townsville)
Far North & Gulf (Cairns)
Far North & Gulf (Mt Isa)
Region of competition (eg. - Metro, Darling Downs)
Competition
Eg. NPL Snr Men, FQPLW 1, U13 Boys etc.
Contact Number
*
-
Area Code
Phone Number
Back
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Billed to Football Queensland
Meakin Park, 187 Meakin Rd, Slacks Creek QLD 4127
Date of Appointment
*
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Day
-
Month
Year
When you did the work.
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11
12
:
Hour
00
30
Minutes
AM
PM
AM/PM Option
If more than 1 Appointment
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Day
-
Month
Year
When you did the work.
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Hour
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30
Minutes
AM
PM
AM/PM Option
If more than 2 Appointments
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Day
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Month
Year
When you did the work.
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:
Hour
00
30
Minutes
AM
PM
AM/PM Option
If more than 3 Appointment
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Day
-
Month
Year
When you did the work.
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AM/PM Option
Description of work
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( X )
Travel Allowance - Appointed games only
$
50.00
AUD
Travel allowance to appointed games.
Trave Allowance
Quantity
Price
GPS Toowoomba
1
2
3
4
5
6
7
8
9
10
$
50.00
AUD
GPS Gold Coast
1
2
3
4
5
6
7
8
9
10
$
30.00
AUD
NPLM Senior per region (EF02)
1
2
3
4
5
6
7
8
9
10
$
40.00
AUD
NPL Junior Boys (EF15)
1
2
3
4
5
6
7
8
9
10
$
25.00
AUD
FQPL 1 Men Senior per region (EF04)
1
2
3
4
5
6
7
8
9
10
$
40.00
AUD
FQPL2 Men Senior per region (EF05)
1
2
3
4
5
6
7
8
9
10
$
40.00
AUD
FQPL3 Men Senior per region (EF06)
1
2
3
4
5
6
7
8
9
10
$
40.00
AUD
FQPL 4 senior Men (EF07)
1
2
3
4
5
6
7
8
9
10
$
25.00
AUD
NPLW Senior - per region (EF03)
1
2
3
4
5
6
7
8
9
10
$
40.00
AUD
NPL Junior Girls (EF16)
1
2
3
4
5
6
7
8
9
10
$
25.00
AUD
FQPL1 Woman Senior per region (EF10)
1
2
3
4
5
6
7
8
9
10
$
40.00
AUD
FQPL 2 Woman (EF11)
1
2
3
4
5
6
7
8
9
10
$
40.00
AUD
Metro Senior To Bribie Island / South Coast (EF17)
1
2
3
4
5
6
7
8
9
10
$
25.00
AUD
Metro Junior to Bribie / South Coast (EF19)
1
2
3
4
5
6
7
8
9
10
$
25.00
AUD
Metro Senior to Willowburn (EF08)
1
2
3
4
5
6
7
8
9
10
$
50.00
AUD
Metro Senior from either Coast (EF17)
1
2
3
4
5
6
7
8
9
10
$
25.00
AUD
Metro Junior from either Coast (EF19)
1
2
3
4
5
6
7
8
9
10
$
25.00
AUD
FNG (50km/car share)
1
2
3
4
5
6
7
8
9
10
$
50.00
AUD
NQ (T'ville to Burdekin)
1
2
3
4
5
6
7
8
9
10
$
50.00
AUD
NQ (T'ville to Ingham)
1
2
3
4
5
6
7
8
9
10
$
50.00
AUD
WB ( Bundy to Fraser Coast)
1
2
3
4
5
6
7
8
9
10
$
50.00
AUD
WB (Agnes to Bundaberg)
1
2
3
4
5
6
7
8
9
10
$
50.00
AUD
DD (1hour each way)
1
2
3
4
5
6
7
8
9
10
$
60.00
AUD
DD (1.5 hrs each way)
1
2
3
4
5
6
7
8
9
10
$
80.00
AUD
DD (2 hrs or more each way)
1
2
3
4
5
6
7
8
9
10
$
100.00
AUD
CC (2 matches, 1 hr each way, car pool)
1
2
3
4
5
6
7
8
9
10
$
50.00
AUD
WC (Mackay to Airlie / Proserpine)
1
2
3
4
5
6
7
8
9
10
$
50.00
AUD
Futsal - F League Men (EF25)
1
2
3
4
5
6
7
8
9
10
$
40.00
AUD
Futsal - F League Woman (EF26)
1
2
3
4
5
6
7
8
9
10
$
40.00
AUD
Futsal - SEQ Premier League Men/Boys (EF21)
1
2
3
4
5
6
7
8
9
10
$
40.00
AUD
Futsal - SEQ Premier league Woman/Girls (EF22)
1
2
3
4
5
6
7
8
9
10
$
40.00
AUD
Assessments
$
100.00
AUD
(All Outdoor Football)
Assessment Type
Type of assessment
Price
Senior Coaching Report (Under 18 up No Video clips)
1
2
3
4
5
6
7
8
9
10
11
12
$
100.00
AUD
Full - (NPL, NPLW & FQPL 1st grade - Must include Hudl clips from game)
1
2
3
4
5
6
7
8
9
10
11
12
$
175.00
AUD
Upgrade Full + running sheet (Lvl 3>2 & 2>1)
1
2
3
4
5
6
7
8
9
10
11
12
$
125.00
AUD
Select Report (U18-UP)
1
2
3
4
5
6
7
8
9
10
11
12
$
50.00
AUD
Field Test- min 2 refs U13 up
1
2
3
4
5
6
7
8
9
10
11
12
$
30.00
AUD
MAP Assessment
1
2
3
4
5
6
7
8
9
10
11
12
$
100.00
AUD
Futsal Assessments & Mentoring
$
75.00
AUD
For all Assessing and Mentoring at SEQ and F-League Futsal
Assessment Type
Type of assessment
Price
Senior Coaching Report - 8th to Snr
1
$
75.00
AUD
Select Report (Snr on Jnr)
1
$
25.00
AUD
Junior Coaching Report (Tick and Flick 3 jars)
1
$
50.00
AUD
Mentoring 1 hour (min 2 reports)
1
$
20.00
AUD
Mentoring 2 hours (min 4 reports)
1
$
40.00
AUD
Mentoring 3 hours ( min 6 reports)
1
$
60.00
AUD
Mentoring 4 hours ( min 8 reports)
1
$
80.00
AUD
Courses - FQ Appointed
$
280.00
AUD
Types - Referee, Assessors & Instructors
Type of Course
Type of Course
Price
Level 4 Referee
0
1
2
$
280.00
AUD
Level 3 Referee
0
1
2
$
280.00
AUD
Level 2 Referee
0
1
2
$
280.00
AUD
Level 1 Referee
0
1
2
$
400.00
AUD
Futsal LOTG
0
1
2
$
280.00
AUD
Level 3 Futsal Referee
0
1
2
$
280.00
AUD
Level 3 Assessor
0
1
2
$
280.00
AUD
Level 2 Assessor
0
1
2
$
420.00
AUD
Level 1 Assessor
0
1
2
$
800.00
AUD
Level 3 Instructor
0
1
2
$
280.00
AUD
Level 2 Instructor
0
1
2
$
800.00
AUD
Shadow Instructor
0
1
2
$
50.00
AUD
LOTG Update
0
1
2
$
100.00
AUD
Mentoring - All Junior Outdoor football
$
30.00
AUD
Max 3 Hours (NPL, FQPL, Metro, SCF)
Mentoring Hours Max 3 Hours
1 Hour (1-2 Refs)
2 Hours (2-4 Refs)
3 Hours (4-6 Refs)
Miscellaneous
$
100.00
AUD
Appointed by FQ
Value
Quantity
Position
Price
1
Fitness Coach
Referee Coach and Development Officer
Referee Support and Appointments
Other
$
100.00
AUD
2
Fitness Coach
Referee Coach and Development Officer
Referee Support and Appointments
Other
$
150.00
AUD
3
Fitness Coach
Referee Coach and Development Officer
Referee Support and Appointments
Other
$
200.00
AUD
4
Fitness Coach
Referee Coach and Development Officer
Referee Support and Appointments
Other
$
250.00
AUD
5
Fitness Coach
Referee Coach and Development Officer
Referee Support and Appointments
Other
$
300.00
AUD
6
Fitness Coach
Referee Coach and Development Officer
Referee Support and Appointments
Other
$
350.00
AUD
7
Fitness Coach
Referee Coach and Development Officer
Referee Support and Appointments
Other
$
400.00
AUD
8
Fitness Coach
Referee Coach and Development Officer
Referee Support and Appointments
Other
$
450.00
AUD
9
Fitness Coach
Referee Coach and Development Officer
Referee Support and Appointments
Other
$
500.00
AUD
10
Fitness Coach
Referee Coach and Development Officer
Referee Support and Appointments
Other
$
550.00
AUD
Other
Fitness Coach
Referee Coach and Development Officer
Referee Support and Appointments
Other
$
560.00
AUD
Total
$
0.00
AUD
Your Bank Details
*
Account Name, Bank, BSB & Account Number
Referees Assessed
*
Names of all referees assessed in this invoice
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Have the reports been submitted
*
Yes
No
Have you submitted a statement by a supplier form?
*
Yes
No
Submit
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