Expense Claim Form | Kootenay Library Federation

Name (First and Last)(Required)

Library Member(Required)

Email(Required)

Phone(Required)

Reason for expense (ie: KLF Board meeting)(Required)

Include Name and Date of Event if applicable

Transportation Total (mileage or other expense)

Note: Mileage is __km @ .57/km) - refer to KLF Distance Chart

Accommodation Total (hotel or billeting - attach receipts)

Note: Billeting max reimbursement is $45.00/night

Meals or Groceries Total (attach receipts)

Note: Maximum compensation $52.00/day.

Attach Receipts

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 2 MB, Max. files: 5.

First choice

Interac e-transfer (please note email address)

Second choice

KSCU transfer: include account type and #. (eg: chequing, Maximizer, 123456)

Turnstile

Name

This field is for validation purposes and should be left unchanged.