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RainbowYOUTH Reimbursement Form
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1
Use this form to request reimbursement for money you have spent on behalf of RainbowYOUTH.
In most cases, money will only be reimbursed for spending agreed to by the Executive Director and Managers in advance.
Proof of purchase (such as a receipt or invoice)
is required to qualify for a reimbursement.
A photo of a receipt is acceptable. In most cases, these are required for RainbowYOUTH's own tax purposes and our annual audit. Attach this below.
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2
Your name:
*
This field is required.
First Name
Last Name
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3
Reimbursement amount requested $:
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4
Proof of purchase(s) (PDF, photo or scans) :
What we allow:
A photo or scan of the receipt, including the GST number, emailed pdf of the invoice or receipt.
What we don't allow:
A screenshot of the transaction going out of your bank account, an EFTPOS docket.
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5
Description of what was purchased and why:
State the nature of the items purchased, what the purpose was or project it relates to, and who authorised the expenditure. e.g. "Food for Community Engagement meeting, authorised by Line Manager".
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6
Total km's claiming for:
Mileage reimbursement requests will only be paid were the driver has signed a Driver Declaration form with RainbowYOUTH staff in advance. RainbowYOUTH follows the guidelines set by the IRD website, which is currently 95cents per km.
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7
Working field
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8
Reimbursement value ($)
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9
Value of milage reimbursement ($):
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10
Brief description of trips undertaken, including dates & km's
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11
Total reimbursement ($):
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12
Have you been reimbursed by Rainbow Youth before?
Yes
No
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13
If you haven't been reimbursed by Rainbow Youth before, please complete these extra details
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14
Email address:
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15
Mobile Number:
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16
Bank account number:
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17
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