OAN Expense Claim Portal

Expense Claim Portal
Event/Activity
Event/ Activity Name: *
Event/ Activity Date:*

MonthDayYear
Date
Which Organization are you submitting your claim to? *
Profile:
Name*

First NameLast Name
Email*
example@example.com

Banking Verification
Have you been reimbursed by us in the past year?*

YesNo
Has your banking information changed since then?*

YesNo

Banking Information
Financial Institution No:*
Bank Branch No:*
Deposit to Account No: *
Telephone Number of the Financial Institution:
Please enter a valid phone number.
Name(s) of the account holder(s):*

Claim Selection
What types of claims are you making?*

Transport (Flights, Train, Buses etc.)Mileage (Driving)AccommodationMealsOther

Transport - Flights, Trains and Buses
Travel Details:*
Total Travel Claim:*
Travel Support Document/ Receipts*

Cancelof

Mileage
If renting a car, prior approval must be obtained.

Car travel reimbursement rates follow directives defined by the Government of Ontario are set at:
- 40 cents/km for southern Ontario.
- 41 cents/km for northern Ontario.
While you are not required to submit a receipt for a mileage claim, you must submit an image (screenshot) of the general route travelled on a map (Google, Apple, Waze etc.) that includes the distance.
Mileage details:*
Total Mileage travelled (km):*
Were you travelling in Northern or Southern Ontario?*

NorthernSouthern
Screenshot of the general route travelled, including the distance:*

Cancelof
Total Mileage Claim: *

Accommodation
Accommodation Details:*
Accommodation Total Claim: *
Enter the Total Accommodation cost.
Accommodation Document Support/ Receipts

Cancelof

Meals
Meal reimbursement follows the Government of Ontario directive and will be reimbursed up to the following guides and rates:
- Breakfast: $10.00
- Lunch: $12.50
- Dinner: $22.50
Original itemized receipts ONLY will be accepted in your claim - credit/debit transaction slips will not be accepted.
Meal Details:*
Meals Total Claim:*
Meals Support Document/ Receipt*

Cancelof

Other Claims
Other Claims details:*
Other Claims total: *
Other Claims Support Document/ Receipt:*

Cancelof

Total Claim Amount-
Signature*

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Budget Code:
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