Official’s Expense Form – Triathlon Ontario

Official's Information

Official's Name*

First Last

Official's Triathlon Ontario Number:

Your Triathlon Ontario number. (Or your membership number for your home province or territory's sport organization.)

Official's Email Address*

Your current email address.

Official's Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Your home address for the purpose of calculating mileage. Be sure to include your full address including postal code.

Event Information

Event Name:*

Name of the event you officiated.

Event Date*

Date of the event officiated. If you officiated more than one day of the same event, enter the first day and the number of days below.

Days Officiated*

Please enter a number greater than or equal to 1.

Enter the total number of days you officiated at this event.

Position*

Enter the position you officiated at the event. You will receive an honorarium based on the position.

Position (Day 2)*

Enter the position you officiated on the second day of the event. You will receive an honorarium based on the position.

Position (Day 3)*

Enter the position you officiated on the third day of the event. You will receive an honorarium based on the position.

Mileage Expenses

Travel Mileage

Travel Mileage (km)*

Enter the total, round-trip mileage in kilometers you travelled to and from the event. If you officiated more than one day, include travel all days. If you don't need to claim mileage, enter "0".

Moto Mileage

Moto Mileage (km)

If you worked as a moto official, enter the distance travelled in kilometers while officiating the event. If you worked more than one day, include all days.

Accommodation Expenses

Accommodations (Pre-Approval Required)

Enter the amount claimed for self-booked accommodations, to a maximum of $125 per night. Note that all accommodations must be requested ahead of time and are booked and paid by TO. Self-booked accommodations will only be reimbursed in special circumstances and only if pre-approved by TO. Email receipts to [email protected]

Receipt Upload - Accommodation

Drop files here or

Upload your receipts here. Accepts multiple files in .jpg, png, and .pdf formats.

Per Diem Rate

Per Diem (Number of nights, not the amount)

Enter the **number of nights** spent in accommodation. A per diem of $25 for each night spent in accommodation is paid to assist with expenses. **Please do not enter $25 per night. Enter the number of nights.**

Other Expenses

Other Expenses (Pre-Approval Required)

Enter the amount of other, pre-approved expenses claimed. These must be described below.

Other Expense Description

Describe the other expenses claimed.

Receipt Upload - Other Expenses

Drop files here or

Upload your receipts here. Accepts multiple files in .jpg, png, and .pdf formats.

Expense Total

Total

$ 0.00 CAD

Please check this total before hitting Submit. If it says some ridiculous number, the usual culprit is having entered 25 or 50 nights of per diem.

Notes

Email

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