H2O Conference Experience: Financial Assistance Form

Skills Canada - Nova Scotia - Financial Assistance Form (H2O Conference Experience)

Please complete the following:
Name of event and/or explanation of expenses:
Date of event / competition*
MM slash DD slash YYYY

If multi-day, please select the first day of the event.
Name of school or participant*
Name cheque payable to:*
Address to send cheque*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email*
What type of expense reimbursement are you requesting?*
- Mileage
- Parking
- Substitute Coverage
Mileage
Those traveling a long distance may be reimbursed for travel at a rate of $0.30/km. Mileage can not be claimed if a car rental is claimed
Travel details
From To
Kilometers ($0.30 per Km) Quantity
Price:
Total Kms travelled (return journey)
Parking
Must be pre-approved by SCNS. Receipt required.
Total Cost
Date
MM slash DD slash YYYY
Substitute Coverage
Must be pre-approved by SCNS. Secondary level teachers only- DOE rate of $196.23/day. A separate cheque will be sent directly to your Centre for Education/ School Board to cover sub fee's. If you would like the cheque to be made out to your school please indicate in the notes below.
School
Centre for Education
Who is the sub coverage needed for?
Date(s) of substitute coverage (MM/DD/YYYY):
Amount to claim
Please note if a cheque for sub fees should NOT be sent directly to your schools Centre for Education or School Board.
Total Amount Claimed
Total
$ 0.00 CAD
Submit receipts
Drop files here or

Accepted file types: jpeg, png, pdf, Max. file size: 5 GB.
Signature*
I certify that all expenses incurred are related to attending a Skills Canada - Nova Scotia event or competition, that none have been claimed from other organizations and that I personally paid for them.
Date*
MM slash DD slash YYYY

H2O Conference Experience: Financial Assistance Form

Skills Canada - Nova Scotia - Financial Assistance Form (H2O Conference Experience)

Please complete the following:

Mileage

Parking

Substitute Coverage

Total Amount Claimed

Contact:

Mailing Address:

Office:

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