Expense Claim Form - Industrial Workers Of The World
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1Industrial Workers of the World,
Canadian Regional Organizing Committee
PO Box 36042, 1106 Wellington St., Ottawa, ON K1Y 4V3, Canada
iww@iww.ca
EXPENSE CLAIM FORM
To claim expenses from the IWW Canadian ROC, collect and number your
receipts, staple or tape them onto a sheet of paper, and fill out this form. Please
print so people can read it. When complete, photocopy this form and the receipt
sheet for yourself and send it to the address above.
Name:
Date:
Delegate Number (if relevant):
Branch/Group (if relevant):
Date
Receipt
Expense
Reason for expense
Checked
D/M/Yr
No.
$
by (initials)
TOTAL CLAIMED: $
_________________________
____________________________________
Signature of claimant
Signature of CANROC Secretary-Treasurer
_________________________
Name of claimant
Address to send reimbursement cheque to:
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