SECWEPEMC CHILD AND FAMILY SERVICES AGENCY

300 Chilcotin Rd, Kamloops, BC V2H 1G3 Phone: (250) 314-9669 Fax: (250) 314-9609

1. CLAIMANT
Sharon Edwards TRAVEL ADVANCE FORM ADVANCE
Payable to (if different from above) _________________________________

3. DEPART FROM: 6. MEALS: Breakfast, 7. ACCOMMODATIONS &

2. Day/Month ARRIVE AT: 4. PURPOSE OF TRAVEL 5. VEHICLE Lunch, Dinner Incidentals 8. Registration 9. Travel Please save all
Overnight Conference
receipts and file
Toll Parking,Airfare
kms @ $0.54 B L D $ Incidental 17.30 COST Registration etc. travel claim form
5-Mar home Kam airport 30 16.20 0.00 within 5 days upon
5-Mar Van airport Westin Hotel -taxi 0.00 0.00 17.30 60.00 return
5-Mar training 0.00 1 1 64.00

6-Mar training 0.00 1 1 1 81.15 17.30

Accomodations:
7-Mar training 0.00 1 1 1 81.15 17.30
Commercial: Full Cost
8-Mar training 0.00 1 1 1 81.15 17.30
Private: $50.00 per day
9-Mar training 0.00 1 1 1 81.15

9-Mar Westin Hotel Van airport -taxi 0.00 0.00 60.00

9-Mar Kam airport home 30 16.20 0.00 Reimbursable? YES or NO

0.00 0.00 If yes, please attach

authorization letter
0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00
COLUMN TOTALS 60 $ 32.40 4 5 5 $ 388.60 $ 69.20 $ - $ - $ 120.00 $ 610.20 Total Travel
I certify that the amounts included in this advance 90%
will be incurred for the purpose stated.
Total Advance
$ 29.16 $ 349.74 $ 62.28 $ - $ - $ 108.00 $ 549.18 Requested

Should I fail to file a travel claim form within 5 days I herby authorize SCFSA to deduct this advance from my 11. Approval Signature:
pay/honorarium cheque
_____________________________
10. Claimant Signature: _________________________________________
Date: __________________
Date: __________________