Holiday Accommodation & Venue Hire Application Form

Holiday Accommodation & Venue Hire Application Form

strictly private & confidential
Personal information
Employee Name*

First NameLast Name
Employer*
Payroll Number*
Phone Number*
(Business hours)
Designated amount to be deducted and pay period

Please add holiday accommodation & venue hire benefit to my salary in accordance with the following:

	Item	Amount to be packaged	No. of pays to package over
Reimbursement (original tax invoices/receipts to be attached)

Please include details of all invoices on attached claim form (Page 2).
Bank account details

Account details required if reimbursement to be paid into a different account to current salary packaging:
Financial institution*
Branch*
BSB*
Account name*
Account number*
Employee declaration
I declare that the expenditure is in accordance with the requirements described in the holiday accommodation & venue hire flyer. I also declare the above expenditure was incurred by me and has not been previously reimbursed by my employer or any other party.

Please note
1. The minimum claim amount is $500.00 and individual receipts must be more than $50.00.
2. Please provide original tax invoices and receipts only
3. No more than $2649.00 should be claimed in an FBT year.
4. Packaging this benefit will result in a Reportable Fringe Benefits value appearing on your payment summary and this may be used for income assessments for certain government surcharges and
  obligations.
Employee Signature*

Clear
or upload e-signature here

Browse Files

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