Expense Form for Bench Staff/Officials Training (West Lorne Comets)

Expense Form for Bench Staff/Officials Training

This form is only to be used by bench staff/officials that have received approval to attend courses and need to be reimbursed their course fees. Please complete all sections, including a .pdf upload of your receipt. Please note submission of this form does not guarantee payment for expenses. All expenses will be reviewed.

Your Information

Please provide player information.

Your Name (First and Last):^*

Required

Your email address:^*

Required

Example: [email protected]. Your submission will be sent to this address.

Bench Staff/Official Position:^*

Required

Day/Month/Year - Please list all birthdates for players if you have more than one.

Team:^*

Required

Please list which teams you are on bench staff/official for

Training Details

Please provide specific information about the training you have completed.

Are you already qualified as bench staff?^*

Yes - I am already qualified but now am being trained for a new position.
No - I am a brand new bench staff or official.

Required

If you are already trained, please provide details.

e.g. I was trained as a Trainer but at the request of the Head Coach, I am now completing training for an Assistant Coach.

Have you completed the courses, and are they showing up as completed in your Spordle Account?^*

Yes No

Required

Please list all the courses you are submitting receipts for & the cost of each course in full^*

Required

e.g. Respect in Sport Activity Leader - $33.90; OMHA Coach 1 - $129.95

Payment Details

Please include all the payment details regarding your course. Please note you are not eligible for re-payment of your course until your course has been noted as completed/passed in your Hockey Canada Spordle Profile.

Total Amount of all Expenses:^*

Required

Please include the full amount you are requesting reimbursement. Please note you must upload a receipt for each item.

Email Address for E-transfer

Example: [email protected]

Receipts

Please submit an individual receipt in .pdf form for each course you are requesting reimbursement.

Please upload all your receipts.^*

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx.
Maximum # Files: 10. Maximum File Size: 4MB.

Only .pdf forms are accepted.

West Lorne Minor Hockey will verify the above information you have submitted is correct. If any information is missing, your refund will not be processed.

Note: Refund/reimbursement requests need to be submitted in writing (via this form) and will be issued by e-transfer/cheque at the end of each month. If you have selected the cheque option, it is your responsibility to ensure you attend cheque pick up dates.

I agree to the terms and conditions stated above^*

Expense Form for Bench Staff/Officials Training (West Lorne Comets)

OMHA Digital Network

Your Information

Training Details

Payment Details

Receipts

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