ISQ Financial Assistance Application

ISQ Financial Assistance Application

(Please do not use this form for Entry Fee reimbursement)
Name of Claimant *

First NameLast Name
Email*
example@example.com
ISQ Membership Number*
Travel & Accommodation costs - Competition Name / Date of Event / Other*
Please advise if you are an Athlete / Coach / Team Leader / Official*
Amount of Claim
Bank Details: BSB*
Bank Account Number*
Account Name*
For coaches: Please advise the names of the skater/s or Team you are coaching at the event you are claiming for.
For Judges / Officials, please advise how many days you were available to officiate at the event.
Notes:
Please upload relevant receipts to accompany claim. All receipts in international currency must be converted to AUD (you can take a snip of your card statement if necessary) Officials: For interstate events, please upload a copy of your invitation letter for the event you are claiming for.

Cancelof
By signing below:

I confirm this amount has not been reimbursed by another club / association.

I confirm that I have attended the competition / event.

I have submitted original receipts as required for actual expenditure. (Airfare receipts must include the itinerary details.

For Athlete / Teams: I confirm I have submitted by training plan for the season to ISQ.
For international skater claims, have you submitted your season training plan?
Signature

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