VOLUNTEER EXPENSE FORM

Volunteer Name (please print)

Volunteer Signature

Staff Contact

Location/mailing address

City

Postal Code

Telephone

Date

Name and Date(s) of Event/Program/Meeting

Auto km’s driven

Allowance (km’s x .40)

Air Fare

Rail, Car, Taxi (Incl. Tips)

Room

Meals (incl. Tips)

Miscellaneous

Self

Others (bus.)

Code

Amount

Column Totals

Expense Items

Row Totals

Make cheque payable to (if other than volunteer name):

Notes: ___________________________________________ ___________________________________________

Less pre-paid advances

Reimbursement Total

Authorization: (CCAE-O Executive)

Codes: A – Tips (toher than meals & taxi) B – Tolls & Parking Fees C – Telephone/Fax D – Car Rentals E – Other (please specify)

Authorization: (CCAE-O Executive)

See reverse for CCAE-O Travel Policy