Submit A Reimbursement Claim

Local 649 offers a formal process for members to request reimbursement for authorized expense claims. Members are required to submit the form below and include all relevant receipts and supporting documentation. Please note that all expense claims must have been authorization before submission.

Once the form and accompanying materials are submitted, the request will be reviewed to ensure compliance with Local’s policies and procedures, ensuring timely and accurate processing of approved reimbursements.

Reimbursement Form

Provide a means to submit a receipt for reimbursement. It has the ability to attach documents (receipts) and will inform the treasurer

Name(Required)

First

Last

Provide your full name

Address(Required)

Street Address

City

Postal Code

Provide your current address

Email(Required)

Provide your personal email address

Payment Details

Receipt(Required)

Drop files here or

Accepted file types: jpg, jpeg, png, doc, docx, xls, xlsx, pdf, Max. file size: 256 MB.

Attach a copy of your receipt(s)

Total(Required)

Please enter a number greater than or equal to 0.

Provide the reimbursement total

Payee(Required)

Provide a name for the cheque payee

Justification(Required)

Provide the reasoning or justification for the request

hCaptcha(Required)

Comments

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