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Approval/Reimbursement Request
Please click "START" to get going. Please fill in one form, per receipt or reimbursement. You will be reimbursed one sum where required! Any problems, call 0438 457 670.
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1
Request Type
*
This field is required.
Are you filling out to 1) get approval to purchase/pay OR 2) would you like to be reimbursed for something that's already been purchased?
Reimbursement
Approval
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2
Purchase pre-approved?
*
This field is required.
Were you asked to purchase this by the sub-committee in charge?
YES
NO
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3
Committee
*
This field is required.
Youth Committee
Parish Council
Ladies Committee
Bookshop
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4
Expense Type
*
This field is required.
Event
Bill
Purchase of Goods
Professional Services
Other
Event
Bill
Purchase of Goods
Professional Services
Other
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5
Amount
*
This field is required.
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6
Event Name
*
This field is required.
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7
Service Type
*
This field is required.
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8
Provider
*
This field is required.
Who did you pay?
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9
Date
*
This field is required.
Date of event/service undertaken etc If across multiple dates, use the date from the invoice
/
Date
Day
Month
Year
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10
Description
*
This field is required.
Please be as detailed as possible when entering the description of the expense(s).
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11
Receipt/Invoice Image Upload
*
This field is required.
Upload all receipt images. Each expense requires a corresponding receipt.
Drag and drop files here
Select files to upload
Max. file size
: 5.0MB
Upload a File
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12
Full Name
*
This field is required.
Enter your first and last name.
First Name
Last Name
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13
Phone Number
*
This field is required.
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14
E-mail
*
This field is required.
Enter your email address.
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15
Reimbursement Method
*
This field is required.
PayID
Direct Debit
Cash
Other
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16
Direct Debit Details
*
This field is required.
Account Number
BSB
Bank
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17
PayID
*
This field is required.
What's your PayID?
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Should be Empty:
SMMH Reimbursement Request
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