Meeting Allowance and
Expense Claim Form
 
 TAX INVOICE
From
ABN
Registered for GST? YesNo
Name of meeting?
Place of meeting?
Date of meeting?
From / To or Stayed at:
  Amounts Claimed Including GST
Sitting Fee ($683.10/day)
requires prior approval of Executive		 $ 
Presidential Stipend ($1265/mth) $ 
* Mileage Allowance
see rates below		 $ 
Total kilometres

   
* Engine Capacity
see choices below		   
Accommodation

 $ 
Accommodation

 $ 
Taxi

 $ 
Taxi

 $ 
Parking at

 $ 
Airfare From/To

 $ 
Airfare From/To

 $ 
Airfare From/To

 $ 
Total Claimed including GST  
you have to add this up :)
 $ 
Contact Name
email

Please save this page and/or print a copy for your records. This page must be sent with any receipts.
RECEIPTS
You must also send in copies of all receipts and Boarding Passes. (Required for reimbursement of airfares according to NSW Health policy. )

email: ian@bingara.net   Please save scanned receipts as either jpg,gif or pdf
Post: 34 Myrene Ave Calala NSW 2340
Fax: (02) 67621389

* Mileage Allowance varies with the size of vehicle motor. RDA must have record of Driver Licence and Vehicle Registration number and Company/Policy number confirming vehicle is fully insured. Attach if unsure.
Normal Engine
Capacity Range
To 1600
1601-2600
Over 2600
Rate (cents per km)

55
66
67
Rotary Engine
Capacity Range
To 800
801-1300
Over 1300
Rate (cents per km)

48.1
54.5
56.2

Office Use Only: Approved Received Paid