OSExpenseClaim

Expense Claim Form

Submit your expense claim by Friday 12:30pm, for payment the following Thursday.
Before you made this purchase, did you check if we have an existing trade account with this supplier?*

YesNo
Full Name*

First NameLast Name
Date of Purchase*

DayMonthYear
Phone Number*
E-mail*
Which service location or HQ function is the expense for?*
What van / asset does this expense relate to (if applicable)?
Total Amount*
GST*
Store/Supplier*
Where was your purchase from?
Reason For Expense*
Account Name
BSB (or Bank/Branch NZ)*
Account Number (AU) or Account Number and Suffix (NZ)*
Please indicate if these bank account details have changed since your last expense claim (if applicable)

Yes, this is a new bank account numberNo, this bank account number is the same
Picture/Scan of Receipt/s*

Upload a File
(one receipt per image. Multiple images can be uploaded to one form) Cancelof
I certify that the transactions above have been incurred in the course of Orange Sky Business*

YesNo
Please note reimbursements are processed and paid weekly, and are subject to timely submission and approval.

To avoid delays, please submit your reimbursement claims ASAP. If your claim is urgent, please contact the Finance team for escalation.

payables@orangesky.org.au

07 3067 5800
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Expense Claim Form