Paid participation form:

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

Instructions are available here. For members of the Illawarra Shoalhaven Suicide Prevention Collaborative, please find relevant instructions available here.

 

Participant details
Banking details
Activity claim
Activity rate
Note: if you only want to claim out-of-pocket expenses, just select "None".
This is a numeric field. Only numbers can be submitted
This is a numeric field. Only numbers can be submitted

Expenses

This is a numeric field. Only numbers can be submitted
E.g. meals, taxis and parking. This will be reimbursed on top of the activity fee.
Please upload receipts to support your expenses claim.
Use of personal motor vehicle
Date of Journey Purpose of Journey Odometer KM Travelled  
Start End Start End Business Private
This is a numeric field. Only numbers can be submitted
Travel costs will be reimbursed in addition to payment of meeting fee on a per km basis at the rate of 85c per kilometre.
Total paid participation to be paid upon approval
This is a numeric field. Only numbers can be submitted
This is the sum of activity fee, out-of-pocket expenses, and travel costs.