Expenses Reimbursement Form Name(Required) First Last Employee/student number(Required)Email (@redeemer.ca)(Required) Meeting/occasion(Required)Date of meeting/occasion(Required) MM slash DD slash YYYY What type of expense(s) do you have?(Required) A mileage expense Generic expense(s) Mileage ExpenseAccount Number(Required)Follows the 10-00-XXXXXX-66000 format (ex. 10-00-278010-66000 for School of Education)Expense Amount(Required)Total KM(Required)Date(Required) MM slash DD slash YYYY Destination(Required)KM @ $0.55 (up to 250 KM)(Required)KM @ $0.16 (over 400 KM)Trip log sheetAccepted file types: jpg, png, pdf, wep, Max. file size: 5 MB. Generic expense #1Account Number(Required)Follows the 10-00-XXXXXX-XXXXX formatExpense Amount(Required)Description(Required)ReceiptMax. file size: 100 MB. Add a second generic expense? Yes Non-mileage expense #2Account Number(Required)Follows the 10-00-XXXXXX-XXXXX formatExpense Amount(Required)Description(Required)ReceiptMax. file size: 100 MB. Add a third generic expense? Yes Generic expense #3Account Number(Required)Follows the 10-00-XXXXXX-XXXXX formatExpense Amount(Required)Description(Required)ReceiptMax. file size: 100 MB. Expenses Total(Required)Payment should be made in(Required) Canadian dollars US dollars My EFT banking information has been submitted(Required) Yes No Please fill in the EFT form located here.Approver email address (typically department head)(Required) This form will be routed to both the approver and the accounts payable office.
