Travel Expense Claim

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TRAVEL EXPENSE CLAIM FOR COMMUNITY
EMPLOYMENT SUPERVISOR AND JOB INITIATIVE
Car Make: _______________________________
TEAM LEADERS
Car c.c.:
_______________________________
Project Name: ___________________________________
Project Number: ________________________________
Supervisor Name: ________________________________
Claimed Year (January) to Date
___________________ (kms)
(including this claim)
Purpose / Nature of
Time
Details of Journey
Persons Met
KMS
Journey
Date
Dept
Return
From
To
Total KMS
Rate per KM
Signed:
_______________________________________
Date:
_______________
Supervisor
TOTAL
I confirm that in relation to the claim above, the travel undertaken by the Supervisor was used exclusively for the above project.
Signed:
________________________________________
Board Position: _________________________
(Sponsor member only)
Print Name:
________________________________________
Date:
_______________
All claims must be in line with Department of Finance regulations and cannot exceed Civil Service motor mileage rates per KM.
DSPTravel ClaimF23V13-15

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