GPA Reimbursement Form – Expenses – Health + Community Care Workforce Sector Council

Funding is available contingent on remaining Council budget. Please contact the council should you have questions.

Facility / Organization name

Organization address

Address Line 1

City

State / Province / Region

Country

date Coach expense

Organization contact name

First

Last

Training date

Please input the expenses for the coach(es) using the fields below.

Coach name

First

Last

Meals (total)

Please include the total amount spent on meals, taxes included. This is a number field. Please do not include formatting (e.g., “$”).

Accommodation

Please include the total amount spend on accommodations, taxes included. This is a number field. Please do not include formatting (e.g., “$”).

Kilometers travelled

Please include the amount of kilometers traveled within Nova Scotia. The reimbursement rate for travel is $0.58 per kilometer

Travel from

Address Line 1

City

State / Province / Region

Postal Code

Country

Please enter the details of the location you traveled from.

Travel to

Address Line 1

City

State / Province / Region

Postal Code

Country

Please enter the details of the location you traveled to.

Receipt Upload

Click or drag files to this area to upload.You can upload up to 10 files.

Upload receipts for your claim here.