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Office Holders Expenses Claim Form
This Section is for your details
*
Indicates required field
Welfare Reps Name
*
First
Last
Welfare Position
*
Email
*
Phone Number
*
Bank Account Number
*
Please let us know if you have changed or updated your bank details.
Please fill in this section about the person you are helping
Name of who you are helping
*
First
Last
Their Welfare Membership Number
*
Select One
*
Gift Basket
Home Visit
Board Expenses
If this is for corrective lenses or hearing aids, this must be your first pair per a person
Date Visited
*
Amount Being Claimed, exclude Mileage
*
KM Traveled
*
Nature of Visit
*
Comment
*
Upload Receipt
*
Max file size: 20MB
If a receipt is required, you will only be reimbursed when we receive it.
Choose Any
*
By checking this box, you are confirming everything is true and accurate to the best of your knowledge
****Office Use ONLY****
Date Joined
*
Accepted/ Decline
*
Date
*
Signature
*
Date of Payment
*
Payment Amount
*
Submit
Wellbeing Hub
Selfcare
External Help
Helping Someone else
Defining Mental Health
Recognising the Signs
Daily Doses
The Wolf Was Not Sleeping
Behind the Book
Join Us
Who can Join
Benefits
Join Online
FAQ's
Get In Touch
Members
Holiday Homes/ Convalescent
Station Folder
Printable Forms
Make A Claim
Discounts
Insurance
How To's
Welfare App
Scholarship
Healthcare 99
HC 99 Manager
Calendar
2021 Calendar
2022 Calendar
2020 Calendar
2019 Calendar
News
Electronic Newsletters
>
Bill Swan
360 News Article
News - Credit Union Offer
Newsletters Archived
>
Newsletters 2019-2020
Newsletters 2018-16
Newsletters 2015-13
Newsletters 2012
Photos
Donate Shop
Donate
NZFFWS Merch