Reimbursement (Cheque & EFT) Payee Name Requisition Number Purchase Order Number Date Enter expenditure details and totals below or attach a separate spreadsheet Double click on form to open here to close the form For Tax purposes please identify the percentage use for the items claimed above/attached: Business use % Private use ………… …………..% ________________________________ Signature of Claimant For all purchases made in Attach original Tax Invoices for purchases over $82.50 including GST Attach original Invoices/Receipts for purchases under $82.50 and proof of payment For all purchases made outside of Attach original Invoice / Receipt - proof of payment. Note: If originals of invoices/receipts are 'lost', a Statutory Declaration must be completed stating why no original is available and provide full details of the purchase plus for purchases made in the Suppliers ABN. Stat Dec forms are available under Finance, Forms on the University Staff web page. The Requisition must be raised for the total cost including GST for the goods/service if no Tax Invoice is attached. Enquiries to Payables Manager 8946 6262 –
Reimbursement (Cheque & EFT) Payee Name Requisition Number Purchase Order Number Date Enter expenditure details and totals below or attach a separate spreadsheet Double click on form to open here to close the form For Tax purposes please identify the percentage use for the items claimed above/attached: Business use ………… % Private use …………..% ________________________________ Signature of Claimant For all purchases made in Attach original Tax Invoices for purchases over $82.50 including GST Attach original Invoices/Receipts for purchases under $82.50 and proof of payment For all purchases made outside of Attach original Invoice / Receipt - proof of payment. Note: If originals of invoices/receipts are 'lost', a Statutory Declaration must be completed stating why no original is available and provide full details of the purchase plus for purchases made in the Suppliers ABN. Stat Dec forms are available under Finance, Forms on the University Staff web page. The Requisition must be raised for the total cost including GST for the goods/service if no Tax Invoice is attached. Enquiries to Payables Manager – 8946 6262
reimbursement-claim%28chq-eft%29.docx