Equinet Expense Claim Form 2025

Equinet Expense Claim Form 2025

Once completed, please submit your firm by clicking the "Submit" Button at the bottom
Formal Agreement
1. I hereby confirm that I authorize Equinet, the European Network of Equality Bodies, to receive the bank details information contained in this form.
2. I confirm that Equinet is entitled to use these bank details for the repayment of the expenses I incurred during an Equinet event.
3. I confirm that Equinet needs these details in order to be able to process my repayment request.
4. I understand that Equinet will use these bank details for this purpose only and that they will be kept confidential and will not be forwarded to any third party.
Please indicate your preferred option*

I agree with the terms of the formal agreement and my signature at the bottom of the form confirms my acceptance to forward my banking details to EquinetI disagree with the terms of the formal agreement and will take personal contact with Equinet to review other options available
WARNING

You have selected not to agree to the terms of the agreement regulating this form. This will prevent you from submitting any expense for reimbursement by Equinet through this form.

Should you wish to submit an expense through other means, please contact Yannick Godin at the Equinet Secretariat (yannick.godin@equineteurope.org)
Please Select a Correct Equinet Event!
Equinet Event*
This event is now more than 30 days old and the deadline for submitting expenses has now passed. Therefore, it is no longer possible to submit expenses for this event.

For more information, please contact the Equinet Secretariat (yannick.godin@equineteurope.org)
Please mention the event you attended on Equinet's behalf
Personal Information
Name*

First NameLast Name
Your Email Address*
Your country*
Your Organisation*
Your full Home Address (requested by the bank to process the payment to your country)*

Street Address

Street Address Line 2

City

Postal / Zip Code
Bank Details
Bank Name
Account Holder
Please fill in the information if the account is not under your name
IBAN Number of the bank account to be credited
BIC/SWIFT Number of the bank account to be credited
Claimed Expenses
Please note that to calculate your expenses from another currency to EURO, you need to use the calculator of the European Commission which you can using this link:

https://commission.europa.eu/funding-tenders/procedures-guidelines-tenders/information-contractors-and-beneficiaries/exchange-rate-inforeuro_en

Please, make sure to use the right month for a calculation (when the spending took place).

Please use a dot for dividing the eurocents ( . ), not comma ( , )
Expense 1
Date of the expense

DayMonthYear
Type of Expense
Details of the expense
Price in Euro
Price in Euro
Equivalent € value
Expense 2
Date of the expense

DayMonthYear
Type of Expense
Details of the expense
Price in Euro
Price in Euro
Please note that, according to the financial rules set out by the European Commission in regards to the Rights, Equality and Citizenship Programme, expenses incurred on the national territory of the following countries are not eleigible for reimbursement: Albania, Norway, Serbia, Moldova, Georgia
Equivalent € value
Expense 3
Date of the expense

DayMonthYear
Type of Expense
Details of the expense
Price in Euro
Price in Euro
Please note that, according to the financial rules set out by the European Commission in regards to the Rights, Equality and Citizenship Programme, expenses incurred on the national territory of the following countries are not eleigible for reimbursement: Albania, Norway, Serbia, Moldova, Georgia
Equivalent € value
Expense 4
Date of the expense

DayMonthYear
Type of Expense
Details of the expense
Price in Euro
Price in Euro
Please note that, according to the financial rules set out by the European Commission in regards to the Rights, Equality and Citizenship Programme, expenses incurred on the national territory of the following countries are not eleigible for reimbursement: Albania, Norway, Serbia, Moldova, Georgia
Equivalent € value
Expense 5
Date of the expense

DayMonthYear
Type of Expense
Details of the expense
Price in Euro
Price in Euro
Please note that, according to the financial rules set out by the European Commission in regards to the Rights, Equality and Citizenship Programme, expenses incurred on the national territory of the following countries are not eleigible for reimbursement: Albania, Norway, Serbia, Moldova, Georgia
Equivalent € value
Expense 6
Date of the expense

DayMonthYear
Type of Expense
Details of the expense
Price in Euro
Price in Euro
Please note that, according to the financial rules set out by the European Commission in regards to the Rights, Equality and Citizenship Programme, expenses incurred on the national territory of the following countries are not eleigible for reimbursement: Albania, Norway, Serbia, Moldova, Georgia
Equivalent € value
Expense 7
Date of the expense

DayMonthYear
Type of Expense
Details of the expense
Price in Euro
Price in EURO
Total amount in €
Please note that, according to the financial rules set out by the European Commission in regards to the Rights, Equality and Citizenship Programme, expenses incurred on the national territory of the following countries are not eleigible for reimbursement: Albania, Norway, Moldova, Georgia
Add Scanned Evidence (including costs)

Upload Scanned evidence
Please upload scanned copies of the evidence (including costs) related to the expenses (receipts, invoices, tickets...) Cancelof
Signature*

Clear
Please sign the form using your mouse
Once you have filled in your expenses and added the scanned evidence, please submit the form by clicking on the 'Submit' button.

If you have original paper evidence such as boarding passes, tickets, receipts:

You are then requested to print a version of the submitted form and mail it to Equinet with the original paper evidence (tickets, receipts, boarding passes, invoices...) related to your declared expenses attached/stapled to it.

In case you only received electronic documents (etickets, pdf invoices or receipts...):

You do not need to print them and send them to us. Just make sure to attach them to the online form.

Any declared expense that is unsubstantiated by related original paper evidence will be disregarded by Equinet.

The evidence needs to be sent to:

Equinet Secretariat

40 Place Victor Horta

1060 Brussels

Belgium
Should be Empty:

Equinet Expense Claim Form 2025

Personal Information

Bank Details

Claimed Expenses

Expense 1

Expense 2

Expense 3

Expense 4

Expense 5

Expense 6

Expense 7

Once you have filled in your expenses and added the scanned evidence, please submit the form by clicking on the 'Submit' button.

If you have original paper evidence such as boarding passes, tickets, receipts: