Coaching Expense Claim Form (Hespeler Minor Hockey Association)

Coaching Expense Claim Form

Complete the Expense Claim Form and attach all proof of payments to receive reimbursement for coaching or trainer course fees.

Claimant Information

All questions are required to be answered to receive reimbursement of fees.

First Name^*

Required

Last Name^*

Required

Rostered Team^*

Required

Select the team that you are rostered on.

Coaching/Trainer Courses^*

Required

List all the courses you are requesting reimbursement of fees. FULL COURSE NAME IS REQUIRED.

Total Amount Claimed^*

Required

Enter total dollars and cents ($xxx.xx)

Email Address^*

Required

The email address you want the e-transfer for reimbursement of fees sent.

Course Payment Receipts^*

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf.
Maximum # Files: 9. Maximum File Size: 4MB.

Attach proof of payment for all courses you are submitting for reimbursement.

Once the Coaching Expense Claim Form has been submitted, the HMHA Travel Director will verify completion of all submitted courses for reimbursement.

If approved, the reimbursement of fees will be made by e-transfer to the email address provided.

I agree to the terms and conditions stated above^*

Coaching Expense Claim Form (Hespeler Minor Hockey Association)

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Claimant Information

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