Peer And Practice Assessment Expense Form

Required fields are marked with *

Contact Information

Registration Number *
First Name *
Last Name *
Address *
Unit / Suite
City *
Province *
Postal Code *
Email *
Phone *
Date of Assessment *
Initials of RO assessed *

Expenses

Allowable Expenses:

  • Fee for Step 1 - Record Review - $150.00
  • Fee for Step 2 – Professional Practice Interview - $150.00
  • Meal allowance - Up to $25 for breakfast, Up to $35 for lunch, Up to $60 for dinner making a total of $110 inclusive of tips and taxes, alcohol is not an allowable expense
  • Travel expenses - air/train fare, if applicable and with advance College approval; personal automobile allowance - $0.70/km
  • Travel time:
    • 1-3 hours travel time and under 150 km one way: $150
    • 3 hours or more travel time and over 150 km one way: $300
  • Parking
  • Hotel accommodations – advance approval required if higher than $249/night
  • Other expenses reasonably incurred (must receive advance College approval)

Please attach all itemized receipts for expenses incurred.


Date of the expenses: *

Please select the applicable expense category from the dropdown menu for each expense that was incurred on that day. To add a new expense category, please click on the green Add Another Expense button. If you are submitting a personal automobile expense. please indicate the number of kilometers travelled.

Expense Category *
Amount *

Remove Expense

Add Another Expense

Total Expenses

Total Amount Claimed

Supporting Documents

Please upload all itemized receipts for expenses incurred.

Use clear and concise filenames for your documents when uploading. To ensure compatibility with our system, please avoid using special characters, such as @, %, &, etc., in your filenames.

Add Another Document



To claim expenses for a different date, please click Save & Add More Expenses button. Upon submission, you will receive an email confirmation with a copy of your expenses.

   

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