Student, Visitor and Conjoint Expense Reimbursement Form

Please check your email account for the confirmation before resubmitting your application

You will now be required to submit this form electronically and it is mandatory to attach electronic copies of receipts and/or approvals to this form. Please have electronic copies (PDF, JPG, GIF, etc) of receipts and/or approvals before commencing.

Basic Details

(Enter Student Number or Creditor Code if known)

Bank Account Details


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(enter NUMBERS ONLY without spaces, dashes or any other special characters)

General Expense Claims

INSTRUCTIONS: For each expense claim, you MUST enter the Expense Date (dd, mmm, yyyy), Claim Type, Claim Description, Currency and Amount Claimed (numbers only, no signs) for your application to be approved. Enter the Cost Collector only if you have been supplied with one.

(Maximum of 10 claims per form)

Expense Date Claim Type Claim Description Currency Amount Claimed Cost Collector or G number (if known)


Private Motor Vehicle Use

INSTRUCTIONS: For private motor vehicle claim, you MUST enter the Date of Last Use (dd, mmm, yyyy), Car Registration Number, Engine Capacity, Total Kms Claimed and Purpose of Journey for your application to be approved. Enter the Cost Collector only if you have been supplied with one.

Date of last use Car Registration Number Engine Capacity Total Kms Claimed Purpose of Journey Cost Collector or G number (if known)

 Important

  1. There must be at lease one General Expense Claim OR a Private Vehicle use claim.
  2. Attach receipts for each General Expense Claim.
  3. Attach written approval by University Contact for private vehicle use (can be an email).
  4. You can submit one attachment with multiple pages OR multiple attachments of a single page.
  5. Expenses will not be reimbursed without all receipts and/or relevant approvals attached.

Attachments

(Maximum of five attachments per form, limit of 1MB per attachment)

Attachment Description Attachment


University of Newcastle Contact

 Claimant Declaration

By submitting this form, I declare that the expenses claimed is for the purpose of conducting business with/for the University of Newcastle and is true and correct in every detail.




Please only press the submit button once. The form may take a few minutes to process depending on the size of the supplied attachments.

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The University abides by the Privacy and Personal Information Protection Act 1998 (NSW), under which you have the right to access your personal information held by the University. The University’s Web Privacy Statement and Privacy and Information Access Policy provide further detail.