Reimbursement – Colored Qollective

Fill in the reimbursement form below.
Make a copy, photo, or screenshot of supporting documents of your costs. If you can, number them. Upload them in the form below. Supporting documents can include copies of tickets, declaration overviews, receipts, booking or order confirmations, etc. More info below. Please note that if the receipt is separate and without your name on it, please include proof of payment, for example, your bank transaction statement.
* To declare travel costs by car, please send a screenshot or overview of the total number of kilometres (you can use the ANWB Route planner via https://www.anwb.nl/verkeer/routeplanner). You can declare € 0,19 per kilometre.

If you have any questions or need more information or clarification, please contact our co-treasurer, Anh (penningmeester@coloredqollective.org) or co-chair, Srish (srishagon@coloredqollective.org).

Reimbursement Form

Your name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone number(Required)

Team(Required)

Reimbursement for(Required)

Name on bank account

If different from your name above.

First Last

Bank account number(Required)

Confirm bank account number(Required)

Claiming reimbursement for(Required)

Travel costs

Other costs

Travel costs

Note: use commas when separating the amount between Euros and cents! The correct amount should show at the bottom of this section.

1. Transport type

Add whether single or return trip.

From

Total (EUR)

2. Transport type

From

Total (EUR)

3. Transport type

From

Total (EUR)

4. Transport type

From

Total (EUR)

5. Transport type

From

Total (EUR)

Total travel reimbursement

Other costs

Note: use commas when separating the amount between Euros and cents! The correct amount should show at the bottom of this section.

1. Type of other expense

Total (EUR)

2. Type of other expense

Total (EUR)

3. Type of other expense

Total (EUR)

4. Type of other expense

Total (EUR)

5. Type of other expense

Total (EUR)

Total other costs reimbursement

Supporting documents and consent

Supporting documents(Required)

Upload here the necessary supporting documents for your reimbursement.

For travel reimbursement:
If travelling by public transport, this could be e.g. a copy of your tickets, the declaration overview from ov-chipkaart.nl or ns.nl, the receipts, or booking confirmations. Please note that if a receipt does not have your name on it, include a proof of payment such as your bank transaction statement.
If travelling by car, please send a screenshot or overview of the total number of kilometres (you can use the ANWB Route planner via https://www.anwb.nl/verkeer/routeplanner). You can declare € 0,19 per kilometer.

For other expenses:
This could be receipts or order confirmations. Please note that if a receipt does not have your name on it, include a proof of payment such as your bank transaction statement.

Drop files here or

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 2 GB.

Is there anything else you need to let us know?

Total reimbursement claim

If the amount listed here is not correct, please make sure the info you typed in is accurate (e.g. using commas to separate Euros and cents).

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