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Travel Expense Claim Forms.pdf

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Appendix A<br />

Canadian Partnership Against Cancer<br />

Approved Levels of <strong>Travel</strong> Reimbursement<br />

Rates Effective August 1, 2009<br />

<strong>Travel</strong> <strong>Expense</strong><br />

Level of Reimbursement<br />

Meals Allowances Per diem allowances: Provinces &<br />

USA<br />

No receipts required.<br />

Where receipts for meals<br />

are attached to claim but the<br />

per diem is claimed, the<br />

lessor of the total meal<br />

receipts or per diem will<br />

apply.<br />

Yukon & NWT Nunavut<br />

Alaska<br />

Breakfast 14.05 16.30 16.65 20.45<br />

Lunch 13.50 16.40 17.75 27.10<br />

Dinner 38.40 47.40 53.05 58.95<br />

Total Meal Allowance 65.95 80.10 87.45 106.50<br />

Meal per diems to be adjusted for meals included as part of attendance at meetings or airline/railway travel<br />

Incidental Allowance 17.30 17.30 17.30 17.30<br />

Incidental expenses include gratuities (except for meals, which are included in the meal allowance) dry<br />

cleaning, bottled water, phone calls home, pet care, plant watering, etc.<br />

Incidental allowance may be claimed provided a minimum of 1 overnight stay is required.<br />

Air <strong>Travel</strong><br />

Must submit ticket, boarding<br />

pass and invoice.<br />

Economy class (e.g. with Air Canada, only Tango or Tango Plus fares).<br />

Airport fees<br />

If traveler chooses to stay over Saturday or Sunday for a lower fare - additional meal, accommodation, etc.<br />

expenses are covered to extent extended stay results in net savings to the Partnership<br />

May participate in frequent flier programs as long as all decisions regarding carriers are first made based on<br />

best available flight prices and times<br />

Rail <strong>Travel</strong><br />

Must submit ticket, boarding<br />

pass and invoice.<br />

Car Rental<br />

Personal Vehicle Use<br />

Economy class<br />

Mid-size unless circumstances warrant otherwise (# of travelers, etc.)<br />

Kilometerage rate covers all costs, including gas, insurance, etc. No receipt required<br />

Vehicle owner is responsible to carry adequate insurance coverage for driver and any passengers<br />

Location Rate / km Location Rate / km<br />

Alberta 50.5 Nunavut 56.0<br />

British Columbia 51.0 Ontario 53.0<br />

Manitoba 48.0 Prince Edward Island 49.0<br />

New Brunswick 48.5 Quebec 55.5<br />

Newfoundland & Labrador 52.0 Saskatchewan 46.5<br />

Northwest Territories 56.0 Yukon 59.0<br />

Nova Scotia 49.5<br />

Other Ground<br />

Transportation Costs<br />

Accommodation<br />

Caregiver <strong>Expense</strong>s<br />

Allowance<br />

International <strong>Travel</strong><br />

<strong>Travel</strong> Insurance<br />

Parking fees, highway, bridge and ferry tolls, taxi, airport limousine (if equal to or less than taxi).<br />

Single room with private bath in a moderately priced business class hotel (Holiday Inn, Delta<br />

Hotel or equivalent)<br />

Tokens of appreciation up to $50 for friends/relatives providing accommodation (no receipts<br />

required).<br />

Available to sole caregiver of a dependant under 18 yrs or with mental/physical disability<br />

Up to $35 per day with a list of expenses; Up to $75 per day with receipts.<br />

Applies only to additional expenses incurred as a result of travelling.<br />

Must be preapproved by CEO.<br />

When necessary, cost of insurance premiums (excluding for personal use vehicles) related to<br />

travel. Must be pre-approved.<br />

Note: unless otherwise specified, original receipts must be obtained and submitted with expense claims.


Appendix B - <strong>Expense</strong> <strong>Claim</strong> Form<br />

Canadian Partnership Against Cancer<br />

<strong>Travel</strong> <strong>Expense</strong> <strong>Claim</strong><br />

Name of Event<br />

Name<br />

Address<br />

Date of Event<br />

Mail Cheque to:<br />

Section 1: <strong>Travel</strong> (mode of transportation, mileage, parking) - #5321<br />

Date Description/Event<br />

#Kilometers Transportation ($) GST ($) Total<br />

MM/DD/YY $ - $ - $<br />

-<br />

$ - $ - $<br />

-<br />

$ - $ - $<br />

-<br />

$ - $ - $<br />

-<br />

$<br />

-<br />

Section 2: Hotel Accommodation - #5323<br />

Date Description/Event<br />

Hotel ($) GST ($) Total<br />

MM/DD/YY $ - $ - $<br />

-<br />

$ - $ - $<br />

-<br />

$ - $ - $<br />

-<br />

$ - $ - $<br />

-<br />

$ - $ - $<br />

-<br />

$<br />

-<br />

Section 3: Meals - #5322<br />

Date Description/Event<br />

Meals ($) GST ($) Total<br />

MM/DD/YY $ - $ - $<br />

-<br />

$ - $ - $<br />

-<br />

$ - $ - $<br />

-<br />

$ - $ - $<br />

-<br />

$ - $ - $<br />

-<br />

$<br />

-<br />

Section 4: Other<br />

Date Description/Event<br />

Subtotal (excl. GST) GST ($) Total<br />

MM/DD/YY $ - $ - $<br />

-<br />

$ - $ - $<br />

-<br />

$ - $ - $<br />

-<br />

$ - $ - $<br />

-<br />

Total Amount <strong>Claim</strong>ed $<br />

-<br />

$<br />

-<br />

Date Submitted:<br />

Date Approved:<br />

<strong>Claim</strong>ant Signature:<br />

Approved by:<br />

* Verified by (CPAC Office):<br />

* CPAC will verify the claim conforms to the Partnership's Approved Guidelines<br />

Charge to:<br />

Section 1<br />

Section 2<br />

Section 3<br />

Section 4<br />

Cost Centre # (1) Account # Amount<br />

<strong>Travel</strong> 5321 $<br />

-<br />

Accomodation 5323 $<br />

-<br />

Meals 5322 $<br />

-<br />

Other (1) $<br />

-<br />

Total $<br />

-<br />

(1) to be completed

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