Payment Requisition Form

Payment Requisition Form

7601 Martin Grove Road, Vaughan, ON, L4L 9E4
Note to user: DO NOT USE THIS FORM IF YOU ARE SENDING AN INVOICE.

Please allow 10 business days (starting from the date Finance received the fully completed requisition).
Payable to:*

First NameLast Name
Date*

YearMonthDay
Date
Payee Email*
example@example.com
Payee Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
NoYes
How many trips?
Mileage
Date*

YearMonthDay
Date
Description*
Purpose/Destination
Account Code
From*
Location
To*
Location
Mileage
KM
Fee
$0.55
Date*

YearMonthDay
Date
Description*
Purpose/Destination
Account Code
From*
Location
To*
Location
Mileage*
KM
Fee
$0.55
Date*

YearMonthDay
Date
Description*
Purpose/Destination
Account Code
From*
Location
To*
Location
Mileage*
KM
Fee
$0.55
Date*

YearMonthDay
Date
Description*
Purpose/Destination
Account Code
From*
Location
To*
Location
Mileage*
KM
Fee
$0.55
Total Mileage Fees
Date Compare

YearMonthDay
Date
Honoraria / Service Payments
How many payments are you submitting for this event?
Date*

YearMonthDay
Date
Transaction Description / Purpose*
Purpose/Destination
Account Code
Amount*
Date*

YearMonthDay
Date
Transaction Description / Purpose*
Purpose/Destination
Account Code
Amount*
Date*

YearMonthDay
Date
Transaction Description / Purpose*
Purpose/Destination
Account Code
Amount*
Date*

YearMonthDay
Date
Transaction Description / Purpose*
Purpose/Destination
Account Code
Amount*
Total Honoria/Service Fees
Please attach any receipts for the above expenses that are "Other" type only.

Cancelof
Total Fees
Expense claims must be submitted to your program contact at Ontario Soccer. Please provide the name and email address of the appropriate person below.
Approvers Name*

First NameLast Name
Approvers Email*
example@ontariosoccer.net
The Approvers email MUST be an Ontario Soccer email address - @ontariosoccer.net
YesNo
Please provide a note on the reason for the edit for the Payee to receive:*
Initial Submission
Should be Empty:

Payment Requisition Form

Mileage

Honoraria / Service Payments