Expense Reimbursement Form Chapter / PSG

Expense Reimbursement Form Chapter / PSG
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Payee First and Last Name
Address
Do you have Out-Of-Pocket expenses?
Do you have Per Diem Expenses?
Please note that reimbursements will be processed via Interac e-Transfer. Kindly provide your preferred email address to facilitate the payment. (If you have any questions or concerns, please contact Steve Maybee at steve.maybee@ostomycanada.ca and Wilma Kohler at wilma.kohler@ostomycanada.ca.)
Expense Approver Name
Please indicate who has approved this expense or who will be approving it in regards to which project, fundraiser etc.
Expense(s) will be submitted to approver's email automatically for approval

Sign Petition

Ostomy Canada is petitioning the Ontario Government to: "Respect the ADP mandate to cover 75% of the average cost of ostomy supplies and would like your help by adding your name. Once we have a sufficient # of signatures, the petition will be brought to the Ontario Legislature by The NDP Health Critic.