| Per diem: | $ |
| Transportation Claim | |
| Airfare: | $ |
| Mileage: km at 53¢ per km | $ |
| Taxi/Parking: | $ |
| Other expenses: | $ |
| Other Expenses - please specify: | |
| Total Expenses Claimed: | $ |
| Expenses for higher airfare or other travel costs incurred as a result of late charges shall be the responsibility of the person requesting the change. Copies of airline tickets and all receipts for transportation expenses must be attached. | |
| Receipts: (please attach a pdf scan of your receipts) | |
| Name: | |
| Address: | |
| City: | |
| Province: | |
| Postal Code: | |
I agree to the terms outlined on this form | |