Expense Claim Form

Please fill one form per event/trip/activity. 

Eligible expenses can be found on page 18 of our operational policies. 

 

Expenses Incurred While Attending:

Name of Event *

Name of Event

Location of Event: *

Location of Event:

Dates of Event: *

Dates of Event:

Submitted By*

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First name *

Last name *

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Email *

Address *

City *

Country * Country Canada United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivarian Republic of Venezuela Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Brazil British Indian Ocean Territory British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Cayman Islands Central African Republic Chad Chile Christmas Island Città del Vaticano Cocos (Keeling) Islands Colombia Comoros Congo Congo (DRC) Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Côte d’Ivoire Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong S.A.R. Hungary Iceland India Indonesia Iran Iraq Ireland Islamic Republic of Pakistan Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea Kosovo Kuwait Kyrgyzstan Lao P.D.R. Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R. Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands North Macedonia Norway Oman Palau Palestinian Authority Panama Papua New Guinea Paraguay People's Republic of China Peru Philippines Pitcairn Islands Poland Portugal Principality of Monaco Puerto Rico Qatar Romania Russia Rwanda Réunion Saint Barthélemy Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka St Helena, Ascension, Tristan da Cunha Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria São Tomé and Príncipe Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.A.E. U.S. Outlying Islands U.S. Virgin Islands Uganda Ukraine United Kingdom Uruguay Uzbekistan Vanuatu Vietnam Wallis and Futuna Yemen Zambia Zimbabwe Åland Islands 조선민주주의인민공화국

State/Province * State/Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Québec Saskatchewan Yukon ALASKA ALABAMA ARKANSAS AMERICAN SAMOA ARIZONA CALIFORNIA COLORADO CONNECTICUT WASHINGTON, DISTRICT OF COLUMBIA DELAWARE FLORIDA FEDERATED STATES OF MICRONESIA GEORGIA GUAM HAWAII IOWA IDAHO ILLINOIS INDIANA KANSAS KENTUCKY LOUISIANA MASSACHUSETTS MARYLAND MAINE MARSHALL ISLANDS MICHIGAN MINNESOTA MISSOURI NORTHERN MARIANA ISLANDS MISSISSIPPI MONTANA NORTH CAROLINA NORTH DAKOTA NEBRASKA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEVADA NEW YORK OHIO OKLAHOMA OREGON PENNSYLVANIA PUERTO RICO PALAU RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VIRGINIA VIRGIN ISLANDS VERMONT WASHINGTON WISCONSIN WEST VIRGINIA WYOMING

Region *

Zip/Postal code *

Signature

I hereby certify the expenses in this form were incurred on Gym Sask business.

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Expenses

Mileage

Mileage	Qty	$/km	Amount
# of kms =	# of kms = - Qty	$0.53
Subtotal $0.00

Accommodation Costs

Receipt(s) required

Nights	Qty	$/night	Amount
	Nights 1 - Qty	Nights 1 - $/night
Subtotal $0.00

Upload receipts

Upload your receipts as images or PDF files.

Meals

Meal	Qty	Price ($)	Amount
Breakfast	Breakfast - Qty	$15.00
Lunch	Lunch - Qty	$20.00
Dinner	Dinner - Qty	$30.00
Max $65/day	Max $65/day - Qty	$65.00
Subtotal $0.00

Clinician/Other Honoraria

# of hrs =	Qty	$/hour	Amount
	# of hrs = 1 - Qty	# of hrs = 1 - $/hour
Subtotal $0.00

Other expense items

Receipt required

Things like:

• Gas for rental vehicles
• Baggage fees
• Parking
• Supplies/equipment

Expense	Qty	Price ($)	Amount
Expense 1	Expense 1 - Qty	Expense 1 - Price ($)	$0.00
Expense 2	Expense 2 - Qty	Expense 2 - Price ($)	$0.00
Expense 3	Expense 3 - Qty	Expense 3 - Price ($)
Subtotal $0.00

Upload receipts

Upload your receipts as images or PDF files.

TOTAL CLAIM:

Total

YES, I want to support gymnastics in Saskatchewan by donating a portion of my total claim above for expenses..

$ Amount to donate to the Education Fund (Coaches/Judges)	$ Amount to donate to the Champions Fund (Athletes))
		×

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Odyssey Fund DONATION Signature

(Only sign below if you are donating to the Odyssey Fund) 

As consistent with Revenue Canada guidelines, I realize that this donation is made voluntarily without any conditions and no benefits will accrue to me. 

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