Expense Claim Form | Northwest Library Federation

Name (First and Last)(Required)

Library Member(Required)

Email(Required)

Phone(Required)

Conference / Event(Required)

Date(s) applicable(Required)

Reimbursement: Etransfer (include email) or cheque (indicate Claimant or Library)(Required)

Receipts are necessary except for mileage. Please use the charts below to calculate meal and mileage claims.

Meals Total - refer to chart below (attach receipts labelled by meal type)

Mileage Total (mileage no receipts required - refer to NWLF chart below)

Other Transportation (Taxi, airfare, etc - attach receipts)

Accommodation Total (hotel or billeting - attach receipts)

Attach Receipts

Max. file size: 10 MB.

Accepted file types: jpg, png, pdf, Max. file size: 2 MB, Max. files: 5.

Turnstile

Meals

Private vehicle allowance: $0.63 per km.

Library	Hazelton	Houston	Kitimat	Prince Rupert	Smithers	Stewart	Terrace
Hazelton	xxxxx	270	412	578	150	508	280
Houston	270	xxxxx	670	834	130	792	536
Kitimat	412	670	xxxxx	410	536	748	146
Prince Rupert	578	834	410	xxxxx	706	926	294
Smithers	150	130	536	706	xxxxx	664	410
Stewart	508	792	748	926	664	xxxxx	632
Terrace	280	536	146	294	410	632	xxxxx