GP payment claim form - Invoice

COORDINARE Ltd
ABN: 27 603 799 088
PO Box: 325 Fairy Meadow NSW 2519

Please note you are filling out the online form that does not include GST. If you are registered for GST please return to the home page and fill in the registered for GST form.

Please fill out one form for each activity. If you participated in other activities you will need to fill out a form for each of those activities.

All supporting receipts must be attached to this form before reimbursements can be processed. 

If you have any questions please contact your COORDINARE HCC or email info@coordinare.org.au.

  

GP details
Registered for GST
Details of claim
Please note the total amount paid will be the hourly rate of $141.15 multiplied by the number of hours taken.
Mileage reimbursement
Use of personal vehicle (88c per kilometre)
Date of Journey Purpose of Journey Odometer KM Travelled  
Start End Start End Business Private
Travel costs will be reimbursed in addition to payment of meeting fee on a per km basis at the rate of 88c per kilometre.
Other out of pocket expenses

Please add information of any other reimbursements you would like to claim below. This may include accommodation, meals etc.

Only complete for the number of items required. Remember to attach receipts associated with the claim.

 

Claim total
Payment details
Participant signature