Team Reimbursement Request Form

Reimbursement Request Form

TO BE COMPLETED ONCE A SEASON, BY MARCH 20TH!
READ THIS BEFORE PROCEEDING:
- TEAMS WILL NOT BE REIMBURSED FOR TEAM-BASED DEVELOPMENT. Do not use this form for development. ALL TEAM-BASED DEVELOPMENT MUST BE ARRANGED AND PAID FOR BY THE TEAM DIRECTLY TO THE SERVICE PROVIDER.
- COACH CERTS (including Respect in Sport) must be submitted BY THE COACH using a different form. If coach ONLY took RISAL and no coach certs, they can be included in this form.
- Managers must provide the cheque number indicating reimbursement to team official has been paid from team account.

Requested by:
Name*

First NameLast Name
Email*
Team:*
Position on Team*
Type of Expense (choose all that apply)*

Team Official Certifications (Mgr and HCSP only)Coach RISAL (ONLY if they didn't take coach certs)Bank Charges (do not submit NSF charges your team incurred)Bank Statements (max 7, must post to Team Page)Other
Who are the certs for? EACH PERSON MUST BE LISTED!*
Details of Bank Charges*
Total Amount for Reimbursement:*

Invoice/Receipts Upload

Upload all invoices below. You do not need to submit one invoice at a time. FORM ONLY ACCEPTS PDFS. PLUS USE WWW.SEJDA.COM TO CONVERT PHOTOS TO PDF.
Invoices, Receipts, etc*

PDF ONLY - max 4500
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Screenshot of Uploaded Bank Statements in TeamPage*

PDF ONLY - max 499 kb
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Notes:
Should be Empty:

Reimbursement Request Form