General Expense Claim Form

General Expense Claim Form
Date*

MonthDayYear
Claimant Contact Information*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Expense Detail:*
Total
File Upload- e.g. Supporting documents and Receipts.

Cancelof
We kindly request your banking information in order to process direct payment via EFT, if Interac is preferred only provide email or phone.
Financial institution and banking information
Name of Financial Institution
Interac E-Transfer (Email and/or Phone):
I hereby certify that this claim is complete and correct in all aspects, and the amounts claimed are consistent with AAU expense policies.
Claimant Signature

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Note: All claims must be approved, signed, and accompanied by valid receipts.
Should be Empty: